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NPI Code Detail

MEDICARE: DR. THOMAS E LAWRENCE MD

MEDICARE:  DR. THOMAS E 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
1207R00000XInternal Medicine PhysicianMD042833EPA
2207RG0300XGeriatric Medicine (Internal Medicine) PhysicianMD042833EPA

General Provider Information

NPI Number : 1861463507
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS E LAWRENCE MD
Provider Business Mailing Address
First Line : 3855 WEST CHESTER PIKE
Second Line : SUITE 300 MAIN LINE HEALTH CENTER
City : NEWTOWN SQUARE
State : PA
Zip : 19073-2304
Country : US
Telephone Number : 484-427-8000
Fax Number : 484-427-8020
Provider Business Practice Location Address
First Line : 3855 WEST CHESTER PIKE
Second Line : SUITE 300 MAIN LINE HEALTH CENTER
City : NEWTOWN SQUARE
State : PA
Zip : 19073-2304
Country : US
Telephone Number : 484-427-8000
Fax Number : 484-427-8020
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2006
Last Update Date : 12/09/2014

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Directions to “ DR. THOMAS E LAWRENCE MD” Practice Location

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