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Individual

SCOTT H LAWRENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
5513 TWIN KNOLLS RD STE 219, COLUMBIA, MD 21045-3264
(410) 844-1577
(410) 740-1117
Mailing address
5513 TWIN KNOLLS RD STE 219, COLUMBIA, MD 21045-3264
(410) 844-1577
(410) 740-1117

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01504
MD
111N00000X
Chiropractor
X005364-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2100596
MAMSI/OPTIMUM CHOICE/MDIP
MD
01
4394863
AETNA
MD
01
52136202
BLUE SHIELD MARYLAND
MD
01
R7860001
MARYLAND FEP
MD
Enumeration date
09/25/2006
Last updated
08/28/2023
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