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Individual

DR. JEFFREY DAVID LAWRENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4001 LAKE OTIS PKWY, SUITE 100, ANCHORAGE, AK 99508-5200
(907) 561-7757
(907) 561-7767
Mailing address
4001 LAKE OTIS PKWY, SUITE 100, ANCHORAGE, AK 99508-5200
(907) 561-7757
(907) 561-7767

Taxonomy

Speciality
Code
Description
License number
State
207VB0002X
Obesity Medicine (Obstetrics & Gynecology) Physician
Primary
AA1970
AK
207VG0400X
Gynecology Physician
AA1970
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MD19701
AK
Enumeration date
09/02/2006
Last updated
02/14/2008
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