IndividualActive
Lawrence Prabhakar, M.D.
NPI 1467482828 · Colon & Rectal Surgery Physician · Rockford, IL
Provider details
- NPI number
- 1467482828
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036098121 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5668 E State St
Rockford, IL 61108-2464
Phone: (815) 229-7580
Fax: (815) 229-7585
Approximate (ZIP-level) locationGet directions
Mailing address
5668 E State St
Rockford, IL 61108-2464
Registry dates
- Enumerated
- 2006-07-03
- Last updated
- 2015-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.