Provider Demographics
NPI:1538263983
Name:CARMICHAEL, LAURENCE C (MD)
Entity type:Individual
Prefix:MR
First Name:LAURENCE
Middle Name:C
Last Name:CARMICHAEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1111 S RALEIGH AVE
Mailing Address - Street 2:STE 600
Mailing Address - City:SHEFFIELD
Mailing Address - State:AL
Mailing Address - Zip Code:35660
Mailing Address - Country:US
Mailing Address - Phone:256-381-8835
Mailing Address - Fax:256-389-8372
Practice Address - Street 1:1111 S RALEIGH AVE
Practice Address - Street 2:STE 600
Practice Address - City:SHEFFIELD
Practice Address - State:AL
Practice Address - Zip Code:35660
Practice Address - Country:US
Practice Address - Phone:256-381-8835
Practice Address - Fax:256-389-8372
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL18861207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00182741OtherTRAVELERS MEDICARE
AL051023819CAROtherBLUE CROSS BLUE SHIELD OF
ALCA000023819Medicaid
P00182741OtherTRAVELERS MEDICARE
G00178Medicare UPIN