Individual
LAWRENCE J. BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3 SAINT ELIZABETH BLVD, O FALLON, IL 62269-1281
(618) 641-5803
(618) 607-5116
Mailing address
5249 SALUKI DR, FAIRVIEW HEIGHTS, IL 62208-3923
(618) 334-7684
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
03/29/2006
Last updated
04/11/2024
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