Individual
DR. LAWRENCE ETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3008 PICKETT RD, DURHAM, NC 27705-6006
(919) 286-7903
(919) 286-7151
Mailing address
3008 PICKETT RD, DURHAM, NC 27705-6006
(919) 286-7903
(919) 286-7151
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
200300969
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200300969
NC LIC
—
05
—
89134NR
—
NC
Enumeration date
11/14/2005
Last updated
03/07/2023
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