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Individual
LAWRENCE DEVOLLD
Active
Individual
LAWRENCE DEVOLLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
Q5172
TX
207Q00000X
Family Medicine Physician
RS2012-0516
NM
Other
Enumeration date
06/27/2012
Last updated
07/22/2015
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