Individual
JEFFREY H LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
390 S MAIN ST, SUITE 201, ROCKY MOUNT, VA 24151-1766
(540) 484-4800
(540) 484-4862
Mailing address
905 RIVERBEND DR, ROCKY MOUNT, VA 24151-2921
(540) 484-5585
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-840481
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8918520
—
VA
Enumeration date
11/10/2005
Last updated
08/18/2021
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