Individual
ANTHONY JAMES LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
501 S PRESTON ST RM 148, LOUISVILLE, KY 40202-1701
(502) 852-3534
Mailing address
501 S PRESTON ST RM 148, LOUISVILLE, KY 40202-1701
(502) 852-3534
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10486
KY
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
04/13/2020
Last updated
09/28/2021
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