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Individual
SUSAN E LAWRENCE
Active
Individual
SUSAN E LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
C41677
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0C416770
—
CA
01
—
C41677
MEDICAL LICENSE
CA
Enumeration date
03/29/2007
Last updated
03/08/2012
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