Individual
DR. MARK ELLIOTT LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
1201 N 18TH ST, ABILENE, TX 79601-2932
(325) 793-3100
(325) 793-3500
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
H8194
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86J247
BLUE SHIELD
TX
Enumeration date
03/29/2006
Last updated
07/02/2020
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