# DR. EDWARD M LAWRENCE

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

## Provider details

- **NPI number:** 1912393703
- **Gender:** Man
- **Credential:** M.D., PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207UN0902X | Nuclear Imaging & Therapy Physician | 68070 | WI | — |
| 2085B0100X | Body Imaging Physician | 68070 | WI | Yes |
| 2085R0202X | Diagnostic Radiology Physician | 5848 | WI | — |

## Other

- **Enumeration date:** 04/08/2015
- **Last updated:** 04/21/2025