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NPI Code Detail

MEDICARE: ANDREW A LAWRENCE MD

MEDICARE:   ANDREW A 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
1207PE0004XEmergency Medical Services (Emergency Medicine) PhysicianL9309TX

General Provider Information

NPI Number : 1871587733
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW A LAWRENCE MD
Provider Business Mailing Address
First Line : 3513 SEABOARD AVE
Second Line :
City : MIDLAND
State : TX
Zip : 79707-6614
Country : US
Telephone Number : 580-695-2534
Fax Number :
Provider Business Practice Location Address
First Line : 2200 W ILLINOIS AVE
Second Line :
City : MIDLAND
State : TX
Zip : 79701-6407
Country : US
Telephone Number : 432-685-1111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 07/08/2007

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