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General NPI Number Information
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NPI Number | 1356498018
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Entity Type | Individual
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Provider Name | TROY EDWARD LAWRENCE D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 13945 N HIGHWAY 183 D115
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City | AUSTIN
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State | TX
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Zip | 78717-5908
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Country | US
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Telephone | 512-257-3627
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Fax | 512-257-9870
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Provider Business Mailing Address
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Address Line | 1501 SOMERSET CANYON LN
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City | CEDAR PARK
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State | TX
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Zip | 78613-1559
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Country | US
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Telephone | 512-663-4131
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 6564
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License Number State | TX
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