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Individual

DR. LAWRENCE RAYMOND DEBARGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
304 PARKS AVE, SCOTTSBORO, AL 35768-2412
(256) 259-6507
(256) 533-8803
Mailing address
200 WILDWOOD PKWY STE 100B, BIRMINGHAM, AL 35209-7300
(205) 943-4650
(205) 943-4688

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
017365
TN
207W00000X
Ophthalmology Physician
035850
GA
207W00000X
Ophthalmology Physician
Primary
MD.45170
AL
207WX0108X
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
017365
TN
207WX0108X
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
MD.45170
AL

Other

Enumeration date
02/21/2006
Last updated
10/09/2024
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