MEDICARE: DR. JEFFREY CHRISTOPHER LAWRENCE MBBS

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	2086S0102X	Surgical Critical Care Physician	33581	WV
2	208600000X	Surgery Physician	33581	WV

General Provider Information

NPI Number	:	1548767627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY CHRISTOPHER LAWRENCE MBBS

Provider Business Mailing Address
First Line	:	209 SOUTHERN WOODS DR
Second Line	:
City	:	SOUTH CHARLESTON
State	:	WV
Zip	:	25309-8692
Country	:	US
Telephone Number	:	504-256-0929
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 MORRIS ST
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25301-1326
Country	:	US
Telephone Number	:	304-388-5432
Fax Number	:

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

Provider Enumeration Date	:	04/06/2018
Last Update Date	:	12/02/2025

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