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NPI Code Detail

MEDICARE: DR. LANA LAWRENCE MD, PH.D.

MEDICARE: DR. LANA LAWRENCE MD, PH.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
1207Q00000XFamily Medicine PhysicianE-20444AR
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1760234819
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LANA LAWRENCE MD, PH.D.
Provider Business Mailing Address
First Line : 2302 COLLEGE AVE
Second Line :
City : CONWAY
State : AR
Zip : 72034-6297
Country : US
Telephone Number : 501-697-8994
Fax Number :
Provider Business Practice Location Address
First Line : 2302 COLLEGE AVE
Second Line :
City : CONWAY
State : AR
Zip : 72034-6297
Country : US
Telephone Number : 501-697-8994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2024
Last Update Date : 06/03/2026

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