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NPI 1669574810

NPI 1669574810 : JULIE ANN LAWRENCE MD : NEW ORLEANS, LA

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General NPI Number Information
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    NPI Number           |    1669574810
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    Entity Type          |    Individual 
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    Provider Name        |    JULIE ANN LAWRENCE MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/01/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    2020 GRAVIER ST SUITE D SECTION OF EMERGENCY MEDICINE
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    City                 |    NEW ORLEANS
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    State                |    LA
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    Zip                  |    70112
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    Country              |    US
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    Telephone            |    504-366-7638
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    24277 SANDERS ROAD 
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    City                 |    COVINGTON
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    State                |    LA
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    Zip                  |    70435
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    Country              |    US
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    Telephone            |    985-893-9145
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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        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    200266
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    License Number State |    LA
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