MEDICARE: RASHA 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	2084P0802X	Addiction Psychiatry Physician	ME97378	FL

General Provider Information

NPI Number	:	1346441482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RASHA LAWRENCE M.D.

Provider Business Mailing Address
First Line	:	2051 SE 3RD ST PH 603
Second Line	:
City	:	DEERFIELD BCH
State	:	FL
Zip	:	33441-6002
Country	:	US
Telephone Number	:	305-790-9224
Fax Number	:

Provider Business Practice Location Address
First Line	:	2051 SE 3RD ST PH 603
Second Line	:
City	:	DEERFIELD BCH
State	:	FL
Zip	:	33441-6002
Country	:	US
Telephone Number	:	305-790-9224
Fax Number	:

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

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	10/19/2022

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