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Individual

LAWRENCE GROSS

Active
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Individual

LAWRENCE GROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
1024512
MA
2084P0800X
Psychiatry Physician
25IA12758200
NJ
2084P0800X
Psychiatry Physician
Primary
C1-0028381
DE
2084P0800X
Psychiatry Physician
D0101087
MD
2084P0800X
Psychiatry Physician
MD491038C
PA

Other

Enumeration date
03/24/2020
Last updated
12/01/2025
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