# WALTER LAWRENCE MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538599071
- **Authorized official:** WALTER J LAWRENCE (MD)
- **Authorized official phone:** (334) 475-2058

## Contact information

- **Practice address:** 551 GLOVER AVE, ENTERPRISE, AL 36330-2041
- **Practice address phone:** (334) 475-2058
- **Practice address fax:** (334) 489-4308
- **Mailing address:** PO BOX 311991, ENTERPRISE, AL 36331-1991
- **Mailing address phone:** (334) 475-2058
- **Mailing address fax:** (334) 489-4308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 25503 | AL | Yes |
| 2083A0100X | Aerospace Medicine Physician | 25503 | AL | — |

## Other

- **Enumeration date:** 11/19/2013
- **Last updated:** 07/21/2022