Individual ProviderLawrence HarveyInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701(260) 266-2020(513) 301-3673PECOS EnrollmentBased on the most recent information from CMS, provider Lawrence Harvey is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1376820639Provider TypeIndividualFull NameHarvey, LawrenceCredentialMDGenderMaleSole ProprietorNoEnumeration Date11/14/2011Last Updated12/15/2022Contact InformationPractice LocationPractice Address11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701Phone(260) 266-2020Fax(260) 266-2009Mailing LocationMailing Address11072 Sycamore Grove Ln, Blue Ash, OH 45241-6631Phone(513) 301-3673FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense35.123498OhioCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseMD24741MaineCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense57019181OhioCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense01086935AIndianaCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicense01086935AIndianaProvider IdentifiersIDDescriptionIssuerID0107868DescriptionMedicaidIssuerUnlistedOhio