Healthcare Provider Details

I. General information

NPI: 1902556871
Provider Name (Legal Business Name): LAWRENCE PIERCE III DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2022
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 SPRING HILL AVE STE 100
MOBILE AL
36604-1416
US

IV. Provider business mailing address

1725 SPRING HILL AVE
MOBILE AL
36604-1402
US

V. Phone/Fax

Practice location:
  • Phone: 251-435-1200
  • Fax: 251-435-1616
Mailing address:
  • Phone: 251-435-1200
  • Fax: 251-435-1616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number4496
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: