Individual
DAVID ROBERT LAWRENCE
Active
Individual
DAVID ROBERT LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
031325
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001313254
—
CT
01
—
00131325401
BLUE CARE FAMILY PLAN
—
01
—
010031325CT01
BLUE CROSS BLUE SHIELD
—
01
—
031325
CONNECTICARE
—
01
—
2109164
AETNA US HEALTHCARE
—
01
—
4381225
AETNA
—
01
—
936922
PHS ACCESS #
—
01
—
AS39958730001
CIGNA
—
01
—
OV5198
PHS
—
Enumeration date
07/31/2006
Last updated
09/16/2008
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