LAWRENCE ADAM GOTTLIEB (NPI# 1922437144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922437144 |
| Entity Type | Individual |
| Full Name | LAWRENCE ADAM GOTTLIEB |
| Practice Address |
216 S Military Ave Green Bay WI 54303-2412 |
| Practice Telephone | 9204990895 |
| Mailing Telephone | 9204990895 |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 15695-40 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790900157 | Lawrence K Gottlieb | Internal Medicine | Intermed Advisors Inc., One Boston Place, Suite 2815, Boston, MA 02108 | 2007-04-13 |
| 1790840528 | Lawrence J Gottlieb | Surgery | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2006-12-22 |
| 1154305209 | Lawrence Howard Gottlieb | Internal Medicine | 1420 Broadway, Hewlett, NY 11557-1352 | 2005-12-02 |
| Street Address |
216 S MILITARY AVE |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54303-2412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588613459 | Thomas Edward Bobka | Optometrist | 216 S Military Ave, Green Bay, WI 54303-2498 | 2006-05-09 |
| 1346594348 | Daniel Christopher Torreano | Pharmacist | 216 S Military Ave, Green Bay, WI 54303-2412 | 2012-10-30 |
| 1700895992 | Jamie Michael Kinjerski | Pharmacist | 216 S Military Ave, Green Bay, WI 54303-2498 | 2006-08-05 |
| 1982659140 | Shopko Stores Operating Co LLC | Pharmacy | 216 S Military Ave, Green Bay, WI 54303-2498 | 2006-05-24 |
| 1346292430 | Shopko Stores Operating Co. LLC | Eyewear Supplier (Equipment, not the service) | 216 S Military Ave, Green Bay, WI 54303-2498 | 2006-05-17 |
| 1003867961 | Michelle Marie Mueller | Optometrist | 216 S Military Ave, Green Bay, WI 54303-2498 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921033 | Ashley Marie Vandermoss | Social Worker | 1601 W Mason Street, Green Bay, WI 54303 | 2020-04-20 |
| 1598307423 | Jean Marie Castaneda | Case Manager/Care Coordinator | 2517 N. Court, Green Bay, WI 54303 | 2019-10-11 |
| 1215579552 | Integrated Treatment Centers, LLC | Clinic/Center | 2311 W Mason Street, Green Bay, WI 54303 | 2019-10-08 |
| 1003460551 | Affordable Dentures & Implants - Green Bay, S.c. | Dentist | 1800-c W. Mason Street, Green Bay, WI 54303 | 2019-08-01 |
| 1164940375 | Kaeley Rae Blaney | Student in an Organized Health Care Education/Training Program | 2088 Memorial Drive #208, Green Bay, WI 54303 | 2017-09-07 |
| 1518498047 | Treatment Providers LLC | Clinic/Center | 2731 N Packerland Dr Ste A, Green Bay, WI 54303 | 2017-03-26 |
| 1851840565 | Back To Balance Chiropractic, LLC | Chiropractor | 110 Packerland Drive, Suite B, Green Bay, WI 54303 | 2016-09-23 |
| 1710361001 | Matthew Lemay | Acupuncturist | 727 E Walnut, Suite B2, Green Bay, WI 54303 | 2015-07-16 |
| 1144600149 | Carrie Jean Banaszak | Counselor | 1039 Mason Street, Green Bay, WI 54303 | 2015-06-04 |
| 1174921993 | Kensey Meyer | Occupational Therapy Assistant | 1555 Dousman Road, Seymour, WI 54303 | 2014-12-10 |
| Find all providers in zip 54303 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1396119236 | Nicole Marie Schreiner | Pharmacist | 2519 Clear Brook Cir, Green Bay, WI 54313-3997 | 2015-11-16 |
| 1265860068 | Ellen Ladowski | Pharmacist | 2786 Candle Ln, Green Bay, WI 54304-1662 | 2013-10-15 |
| 1164869038 | Jean Marie Richardson | Pharmacist | 3030 Grande Rue, Green Bay, WI 54301 | 2013-05-31 |
| 1861746018 | Lynn Marie Knute | Pharmacist | 1230 Western Meadows Dr, Green Bay, WI 54313-1324 | 2012-11-08 |
| 1114294311 | Jill Anne Guernsey | Pharmacist | 2301 S. Oneida St, Green Bay, WI 54301 | 2011-11-17 |
| 1245516293 | Jennifer Bromberek | Pharmacist | 2566 Johnny Ln, Green Bay, WI 54311-4412 | 2011-10-21 |
| 1902181035 | Laura Sewall | Pharmacist | 1150 Springhurst Dr, Suite #206, Green Bay, WI 54304-5950 | 2011-10-20 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1871707141 | Robert J Atkinson | Pharmacist | 1478 Parkway Dr, Green Bay, WI 54304-1975 | 2007-05-09 |
| Find all providers in GREEN BAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.