Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | N4245 | TX |
N | 207VG0400X | Gynecologist | 2006012216 | MO |
NPI | 1346284627 |
---|---|
Provider Name | Dr. Laura T Lawrence |
First Address | Dallas, TX 75231 |
Second Address | Dallas, TX 75231 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 24/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200916302 | (05) | MO |
I62676 | (02) |