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Individual

DR. LARRY DOUGLAS LAWRENCE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2007-00008
NC
207R00000X
Internal Medicine Physician
Primary
MD22370
ME
207R00000X
Internal Medicine Physician
TD171105
ME
208M00000X
Hospitalist Physician
2007-00008
NC
208M00000X
Hospitalist Physician
MD184500
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
145CN
BCBSNC
NC
05
5907104
NC
Enumeration date
03/10/2007
Last updated
07/22/2021
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