Individual provider · Type 1 NPI

Lawrence Lea Cockroft Gilliland, MD

Diagnostic Radiology Physician · Springfield, MO

NPI number 1912109018 Active

Practice location

3850 S National Ave, Suite 300
Springfield, MO 65807-5287

Fax (417) 269-6992

Mailing address

PO Box 3262
Springfield, MO 65808-3262

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X0101247434 (VA)
Diagnostic Radiology Physician 2085R0202X2011017818 (MO)
Diagnostic Ultrasound Physician 2085U0001X390200000X (TN)
Diagnostic Radiology Physician Primary 2085R0202X72242 (GA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1912109018

Lawrence Lea Cockroft Gilliland, MD's National Provider Identifier is 1912109018, issued on Jun 1, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Springfield, MO. The record was last updated on Mar 6, 2023.