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NPI Code Detail

MEDICARE: DR. CHRISTINE LAWRENCE DPM

MEDICARE: DR. CHRISTINE LAWRENCE DPM
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
1213ES0103XFoot & Ankle Surgery PodiatristIL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00097895OTHERILRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
21633823OTHERILBCBS

General Provider Information

NPI Number : 1144257981
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINE LAWRENCE DPM
Provider Business Mailing Address
First Line : 1516 E 87TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60619-6525
Country : US
Telephone Number : 773-978-7000
Fax Number : 773-978-4606
Provider Business Practice Location Address
First Line : 1516 E 87TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60619-6525
Country : US
Telephone Number : 773-978-7000
Fax Number : 773-978-4606
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2006
Last Update Date : 10/30/2007

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Directions to “ DR. CHRISTINE LAWRENCE DPM” Practice Location

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