Individual
JOHN P LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4801 ALBERTA AVE, EL PASO, TX 79905-2707
(915) 215-5300
(915) 215-8606
Mailing address
440 RAYNOLDS ST # 51015, EL PASO, TX 79905-1613
(915) 215-4480
(915) 215-5386
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
29467
IA
2086S0120X
Pediatric Surgery Physician
Primary
S8332
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101576
—
IA
01
—
12174
WELLMARK BCBS
IA
Enumeration date
08/10/2005
Last updated
11/24/2020
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