MEDICARE: DR. MARCUS SEXTON LAWRENCE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	7667	AL

General Provider Information

NPI Number	:	1053557694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARCUS SEXTON LAWRENCE M.D.

Provider Business Mailing Address
First Line	:	5444 CROSSINGS LAKE CIR
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-4536
Country	:	US
Telephone Number	:	205-995-4666
Fax Number	:	205-991-9520

Provider Business Practice Location Address
First Line	:	5444 CROSSINGS LAKE CIR
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-4536
Country	:	US
Telephone Number	:	205-995-4666
Fax Number	:	205-991-9520

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2009
Last Update Date	:	01/04/2009

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