MEDICARE: DR. JANET I. 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
1	207R00000X	Internal Medicine Physician	51284	VA

General Provider Information

NPI Number	:	1710092622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANET I. LAWRENCE MD

Provider Business Mailing Address
First Line	:	301 W BAY ST
Second Line	:	EVERBANK CENTER, 6TH FLOOR
City	:	JACKSONVILLE
State	:	FL
Zip	:	32202-5184
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 W BAY ST
Second Line	:	EVERBANK CENTER, 6TH FLOOR
City	:	JACKSONVILLE
State	:	FL
Zip	:	32202-5184
Country	:	US
Telephone Number	:	904-224-7341
Fax Number	:

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

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	10/01/2015

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