Individual
LAWRENCE A CHURCHVILLE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
208 MAIN ST, TOWNSEND, MA 01469-1096
(978) 597-2327
(978) 597-8593
Mailing address
208 MAIN ST, TOWNSEND, MA 01469-1096
(978) 597-2327
(978) 597-8593
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50800
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9757643
—
MA
Enumeration date
09/01/2006
Last updated
07/08/2007
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