Provider Demographics
NPI:1124203195
Name:RAMSAY, LAWRENCE HILL (PA)
Entity type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:HILL
Last Name:RAMSAY
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6029 HIGHWAY 67
Mailing Address - Street 2:
Mailing Address - City:HASKELL
Mailing Address - State:AR
Mailing Address - Zip Code:72015-8400
Mailing Address - Country:US
Mailing Address - Phone:501-794-6808
Mailing Address - Fax:844-272-1481
Practice Address - Street 1:502 WEST COURT ST
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:AR
Practice Address - Zip Code:72641-0445
Practice Address - Country:US
Practice Address - Phone:870-446-2203
Practice Address - Fax:870-365-0862
Is Sole Proprietor?:No
Enumeration Date:2008-01-08
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPA265363AM0700X, 363A00000X
ARPA-265363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR282956Medicare PIN