Organization
MEDICINA MENTIS AD GLORIAM DEI PLLC
Active
Organization
MEDICINA MENTIS AD GLORIAM DEI PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUANE MATTHEW LAWRENCE MD (SENIOR CLINICIAN)
(757) 490-9500
Entity
Organization
Contact information
Practice address
328 OFFICE SQUARE LN STE 104, VIRGINIA BEACH, VA 23462-3648
(757) 490-9500
Mailing address
1083 INDEPENDENCE BLVD STE 187, VIRGINIA BEACH, VA 23455-5523
(757) 910-2270
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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