Individual
NAOMI LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10000 SAGEMORE DR, SUITE 10103, MARLTON, NJ 08053-3944
(856) 596-3040
(856) 735-6497
Mailing address
1 FEDERAL ST STE SW200, CAMDEN, NJ 08103-1155
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
MA59796
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0685481000
AMERIHEALTH, KEYSTONE, IBC
—
01
—
110084269
RR MEDICARE
—
01
—
1242498
UNITED HEALTHCARE
—
01
—
28422
UNIVERSITY HEALTHPLAN
—
01
—
4579756
AETNA
—
05
—
6013201
—
NJ
01
—
8149041
CIGNA
—
01
—
P3597614
OXFORD
—
Enumeration date
10/19/2006
Last updated
02/14/2019
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