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Individual

LAWRENCE GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
6509 NW 105TH AVE, ALACHUA, FL 32615-7448
(909) 659-8184
Mailing address
6509 NW 105TH AVE, ALACHUA, FL 32615-7448
(909) 659-8184

Taxonomy

Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
Primary
9344187
FL

Other

Enumeration date
06/24/2014
Last updated
06/24/2014
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