Individual
DAVID TALBOT LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
STONY BROOK UNIVERSITY HOSPITAL, HSC, LEVEL 4, ROOM 080, STONY BROOK, NY 11794-8350
(631) 444-2478
Mailing address
STONY BROOK UNIVERSITY HOSPITAL, HSC, LEVEL 4, ROOM 080, STONY BROOK, NY 11794-8350
(631) 444-2478
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0102201884
VA
207P00000X
Emergency Medicine Physician
Primary
235578
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144273228
—
VA
Enumeration date
05/18/2006
Last updated
07/02/2012
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