Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 028589 | GA |
NPI | 1538278940 |
---|---|
Provider Name | Lawrence C. Layman |
First Address | Augusta, GA 30901-2602 |
Second Address | Augusta, GA 30904-5806 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 26/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000370235B | (05) | GA |
D30026 | (02) | |
G28589 | (05) | SC |