MEDICARE: DON LAWRENCE CORPUS 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	ME94488	FL
2	207Q00000X	Family Medicine Physician	A73607	CA

General Provider Information

NPI Number	:	1558379339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DON LAWRENCE CORPUS M.D.

Provider Business Mailing Address
First Line	:	91 MONTEREY POINTE DR
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-5809
Country	:	US
Telephone Number	:	310-963-0847
Fax Number	:

Provider Business Practice Location Address
First Line	:	1021 N STATE ROAD 7
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-5117
Country	:	US
Telephone Number	:	561-333-9331
Fax Number	:

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

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	07/08/2007

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Directions to “ DON LAWRENCE CORPUS M.D.” Practice Location

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