Individual
THOMAS LAURENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-4511
Mailing address
8 BURNETT CIR, URBANA, IL 61801-5806
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101026458
VA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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