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Individual

LAWRENCE A GOULD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5735 MEEKER RD, GREENVILLE, OH 45331-1180
(937) 548-9680
(937) 548-2087
Mailing address
5735 MEEKER RD, GREENVILLE, OH 45331-1180
(937) 548-9680
(937) 548-2087

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
35028448G
OH
207V00000X
Obstetrics & Gynecology Physician
Primary
3528448
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00308018
OH
Enumeration date
06/09/2006
Last updated
07/21/2011
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