Dr Lawrence Green, MD is a
Family Medicine physician based in Cookson, Oklahoma. Dr Lawrence Green is licensed to practice in Oklahoma (license number 9260) and his current practice location is 23507 East Riverview Drive, Cookson, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(918) 456-8989.
NPI number for Dr Lawrence Green is 1194857136 and his current mailing address is 1 Plaza South St # 297, Tahlequah, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194857136.
Physician's Profile
Full Name | Dr Lawrence Green |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 23507 East Riverview Drive, Cookson, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194857136
- Provider Enumeration Date: 03/12/2007
- Last Update Date: 03/30/2024
Medical Identifiers
Medical identifiers for Dr Lawrence Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194857136 | NPI | - | NPPES |
100093200D | Medicaid | OK | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 9260 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lawrence Green is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Lawrence Green, MD 1 Plaza South St # 297, Tahlequah, OK 74464-4750 Ph: (918) 456-8989 | Dr Lawrence Green, MD 23507 East Riverview Drive, Cookson, OK 74427-2471 Ph: (918) 456-8989 |
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