# DR. MALLORY ANDREW LAWRENCE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1790868065
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208C00000X | Colon & Rectal Surgery Physician | 026578 | GA | Yes |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 02/15/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00399517A | — | GA |
| 01 | — | 1621144003 | CIGNA | GA |
| 01 | — | 1621144004 | CIGNA HMO | GA |
| 01 | — | 2089751 | AETNA HMO | GA |
| 01 | — | 4140381 | AETNA | GA |
| 05 | — | G26578 | — | SC |