Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 34005679 | OH |
Y | 208600000X | Surgeon | 34005679 | OH |
N | 2086S0129X | Vascular Surgeon | 34005679 | OH |
NPI | 1164597910 |
---|---|
Provider Name | Dr. David R Lawrence |
First Address | Westerville, OH 43082-8521 |
Second Address | Westerville, OH 43082-8521 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2006 |
Last Update Date | 02/10/2020 |