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

Dr. Lawrence Thomas Mollo, MD

Individual provider Internal Medicine Physician · NPI 1508122334

Dr. Lawrence Thomas Mollo, MD is a Pediatric Medicine in Champlin, Minnesota. Qualified in 2012, 14 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Minnesota.

Years since qualifying
14
Licensed in
IL, MN
In the registry since
2012
Specialties on file
4
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

12142 Business Park Blvd N
Champlin, MN 55316-4525
Phone: (952) 977-0500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2160 S 1st Ave, Maywood, IL 60153-3328 — (708) 216-8757

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 62157 (MN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 62157 (MN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125061609 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence 125061609 (IL)

Record details

NPI number1508122334
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 5, 2012
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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