Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lawrence Canada, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053961417

Lawrence Canada, MD is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

651 S Wells St Apt 706
Chicago, IL 60607-4547
Phone: (907) 414-0620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1053961417
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 18, 2019
Last updated in NPPESNovember 6, 2023
Certification dateNovember 6, 2023
Mailing address1210 S Indiana Ave Apt 1316, Chicago, IL 60605-2773

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