Individual
DR. STEWART LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6030 W EMERALD ST, BOISE, ID 83704-8855
(208) 367-7611
(208) 367-7616
Mailing address
6030 W EMERALD ST, BOISE, ID 83704-8855
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
M5854
ID
Other
Enumeration date
06/06/2006
Last updated
08/06/2007
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