Individual
DR. CLARISSA G LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1702 MEDICAL PARK DR W, WILSON, NC 27893-2705
(252) 243-7944
(252) 243-6097
Mailing address
1020 TERRACE DR, SUITE 101, MARION, VA 24354-4392
(276) 783-8183
(276) 782-9267
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101262369
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306922562
—
VA
05
—
8951212
—
NC
Enumeration date
10/31/2006
Last updated
06/16/2018
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