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NPI Code Detail

MEDICARE: DR. MARY KATHERINE LAWRENCE MD

MEDICARE: DR. MARY KATHERINE LAWRENCE MD
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
1207RE0101XEndocrinology, Diabetes & Metabolism Physician30397NC
2207R00000XInternal Medicine Physician30397NC

General Provider Information

NPI Number : 1215932140
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARY KATHERINE LAWRENCE MD
Provider Business Mailing Address
First Line : 302 MEDICAL PARK CT
Second Line :
City : MOREHEAD CITY
State : NC
Zip : 28557-4346
Country : US
Telephone Number : 252-247-2013
Fax Number : 252-247-7299
Provider Business Practice Location Address
First Line : 302 MEDICAL PARK CT
Second Line :
City : MOREHEAD CITY
State : NC
Zip : 28557-4346
Country : US
Telephone Number : 252-247-2013
Fax Number : 252-247-7299
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 12/27/2017

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