Individual
DR. LARRY HERBERT LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3818 FRIENDLY HOPE RD, JONESBORO, AR 72404-6989
(870) 910-5290
(870) 910-5290
Mailing address
3818 FRIENDLY HOPE RD, JONESBORO, AR 72404-6989
(870) 910-5290
(870) 910-5290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C-7943
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118446001
—
AR
01
—
54354
ABCBS PROVIDER NUMBER
AR
Enumeration date
08/03/2006
Last updated
07/09/2007
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