Healthcare Provider Details

I. General information

NPI: 1467406199
Provider Name (Legal Business Name): JOHN J. LAWRENCE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1693 S QUEEN ST
YORK PA
17403-4609
US

IV. Provider business mailing address

601 MEMORY LN
YORK PA
17402-2231
US

V. Phone/Fax

Practice location:
  • Phone: 717-845-1621
  • Fax: 717-854-6939
Mailing address:
  • Phone: 717-851-1405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD046191L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: