Dr. Lawrence Thomas Mollo
MD | Pediatrics | Male
Dr. Lawrence Thomas Mollo, MD is a Champlin, Minnesota based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Lawrence Thomas Mollo is
12142 Business Park Blvd N, Champlin, Minnesota - 55316-4525. He can be contacted on phone at
952-977-0500.
Dr. Lawrence Thomas Mollo is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Lawrence Thomas Mollo is
1508122334 which was assigned by NPPES on 05 Apr, 2012 and it was last updated on 21 Jul, 2022.
Dr. Lawrence Thomas Mollo license number is
62157 for Pediatrics (208000000X) in Minnesota.
Dr. Lawrence Thomas Mollo is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Lawrence Thomas Mollo basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Lawrence Thomas Mollo |
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| Credential : | MD |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Lawrence Thomas Mollo address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 12142 Business Park Blvd N
Champlin, MN, 55316-4525
United States |
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| Phone Number : | 952-977-0500 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1508122334 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Apr, 2012 |
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| Last Updated On : | 21 Jul, 2022 |
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Medicare Participation:
Dr. Lawrence Thomas Mollo participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 4981905023 |
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| Medicare Enrollment ID : | I20170828003311 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 2012 |
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| Accepts Medicare? | Yes. Dr. Lawrence Thomas Mollo accepts medicare insurance. |
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Group Practice Association:
Dr. Lawrence Thomas Mollo is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Lawrence Thomas Mollo is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Park Nicollet Clinic | 7911819438 | 1442 | 12142 Business Park Blvd N
Champlin, MN - 553164525
Ph: 9529770500 | Yes |
| Park Nicollet Clinic | 7911819438 | 1442 | 9555 Upland Ln N
Maple Grove, MN - 553694485
Ph: 9529939900 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Lawrence Thomas Mollo are as mentioned. Primary taxonomy code for Dr. Lawrence Thomas Mollo, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 207R00000X | Internal Medicine | No | 62157 | MN |
| 207R00000X | Internal Medicine | No | 125061609 | IL |
| 208000000X | Pediatrics | No | 125061609 | IL |
| 208000000X | Pediatrics | Yes | 62157 | MN |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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2160 S 1ST AVE, RM 7609
MAYWOOD, IL, 60153-3328
United States | MAYWOOD, IL | 708-216-8757 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2160 S 1st Ave, Rm 7609
Maywood, IL, 60153-3328
United States |
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| Phone Number : | 708-216-8757 |
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Business Location:
Patients can refer following map for directions to
Dr. Lawrence Thomas Mollo practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.