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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