Individual
DR. MICHAEL R LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1025 NEW MOODY LN, LA GRANGE, KY 40031-9154
(502) 222-3347
(502) 222-3634
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 489-5730
(502) 489-5753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
27328
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27328
KENTUCKY LICENSE
KY
05
—
64273287
—
KY
Enumeration date
06/09/2006
Last updated
03/07/2023
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