MEDICARE: DR. NEAL CHRISTOPHER LAWRENCE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	K7573	TX
2	207Q00000X	Family Medicine Physician	E-1553	AR

General Provider Information

NPI Number	:	1518934314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEAL CHRISTOPHER LAWRENCE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 550
Second Line	:
City	:	LOWELL
State	:	AR
Zip	:	72745-0550
Country	:	US
Telephone Number	:	479-253-9746
Fax Number	:	972-870-4925

Provider Business Practice Location Address
First Line	:	146 PASSION PLAY RD STE A
Second Line	:
City	:	EUREKA SPRINGS
State	:	AR
Zip	:	72632-9455
Country	:	US
Telephone Number	:	479-253-9746
Fax Number	:	479-253-2464

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2006
Last Update Date	:	12/17/2024

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