Individual
DR. LARRY DOUGLAS LAWRENCE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 CRATER LAKE AVE, MEDFORD, OR 97504-6241
(541) 732-5545
Mailing address
3500 ARENDELL ST, CARTERET GENERAL HOSPITAL, MOREHEAD CITY, NC 28557-2901
(252) 808-6030
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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