Individual
DR. LAWRENCE CARROLL AULT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-4575
Mailing address
19703 LANSDOWNE ST, ORLANDO, FL 32833-3715
(501) 837-3144
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
N7862
AR
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
N7862
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117339001
—
AR
Enumeration date
01/11/2006
Last updated
03/12/2025
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