Individual
LAWRENCE EUGENE CRIMMINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 JOHN ANDERSON DR, ORMOND BEACH, FL 32176-3206
(386) 682-2543
Mailing address
1801 JOHN ANDERSON DR, ORMOND BEACH, FL 32176-3206
(386) 682-2543
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
33062
GA
2085R0202X
Diagnostic Radiology Physician
Primary
ME 61513
FL
208D00000X
General Practice Physician
33062
GA
208D00000X
General Practice Physician
ME 61513
FL
Other
Enumeration date
03/21/2006
Last updated
03/20/2017
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