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Lawrence P Prabhakar, MD
Colon & Rectal Surgery Physician in Rockford, Illinois
NPI 1467482828

Lawrence P Prabhakar is a Colon & Rectal Surgery Physician based in Rockford, IL. Lawrence P Prabhakar practices in Rockford, IL and has the professional credentials of MD. The NPI Number for Lawrence P Prabhakar is 1467482828 and holds a License No. 036098121 (Illinois).

The current practice location address for Lawrence P Prabhakar is 5668 E State St, Rockford, IL and can be reached out via phone at 815-229-7580 and via fax at 815-229-7585.

Location: 5668 E State St, Rockford, IL, 61108-2464
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467482828
Provider Name
Lawrence P Prabhakar
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5668 E State St, Rockford, IL, 61108-2464
Phone Number
815-229-7580
Fax Number
815-229-7585
Provider Enumeration Date
07/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036098121 05 IL
280000796 01 RAILROAD MEDICARE
32473900 05 WI
institution
Provider Business Practice Location Address Details
Address
5668 E State St
City
Rockford
State
Illinois
Zip
61108-2464
Phone Number
815-229-7580
Fax Number
815-229-7585
person
Provider Business Mailing Address Details
Address
5668 E State St
City
Rockford
State
Illinois
Zip
61108-2464
Phone Number
815-229-7580
Fax Number
815-229-7585
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Colon & Rectal Surgery
Speciality
-
Taxonomy
208C00000X
License No.
036098121 (Illinois)
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
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