Individual
DR. LAWRENCE JAY CARPENTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 MOBILE INFIRMARY CIR, STE 201, MOBILE, AL 36607-3514
(251) 435-7900
(251) 435-6261
Mailing address
3 MOBILE INFIRMARY CIR, STE 201, MOBILE, AL 36607-3514
(251) 435-7900
(251) 435-6261
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
21817
AL
207V00000X
Obstetrics & Gynecology Physician
Primary
21817
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0552570001
CIGNA
AL
01
—
51516740
BLUE CROSS BLUE SHIELD
AL
Enumeration date
06/27/2006
Last updated
10/03/2011
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