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Individual

LAWRENCE ALAN GAULKIN

Active
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Individual

LAWRENCE ALAN GAULKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101030483
VA
207Q00000X
Family Medicine Physician
Primary
ME0036411
FL

Other

Enumeration date
08/09/2005
Last updated
05/19/2008
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