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Individual
BILL BROOKS LAWRENCE
Active
Individual
BILL BROOKS LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C8006
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0722160002
CIGNA
AR
01
—
080072893
RAILROAD MEDICARE
AR
05
—
129591001
—
AR
01
—
16918000000
QUALCHOICE
AR
01
—
392651
HEALTHLINK
AR
01
—
5K059
BCBS
AR
01
—
710790635
TRICARE
AR
01
—
7464032
AETNA
AR
01
—
FP98253
UNITED HEALTHCARE
AR
Enumeration date
07/25/2006
Last updated
07/14/2008
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