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General NPI Number Information
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NPI Number | 1487994497
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Entity Type | Individual
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Provider Name | THOMAS JOSEPH LAWRENCE M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/28/2013
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Last Update Date | 04/11/2016
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Provider Practice Location Address
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Address Line | 5149 N 9TH AVE SUITE 122
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City | PENSACOLA
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State | FL
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Zip | 32504-8756
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Country | US
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Telephone | 843-518-2854
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Fax |
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Provider Business Mailing Address
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Address Line | 5149 N 9TH AVE SUITE 122
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City | PENSACOLA
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State | FL
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Zip | 32504-8756
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Country | US
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Telephone |
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | MD.32322
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License Number State | AL
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