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Individual

DR. LAWRENCE E STROUD JR.

Active
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Individual

DR. LAWRENCE E STROUD JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
9099
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
090993
SC
01
110048374
RAILROAD MEDICARE PROV NO
SC
01
42D0252876
CLIA NUMBER
SC
01
57-0739752
CORP. FEDERAL ID NUMBER
SC
01
PA4726
GROUP MEDICAID NUMBER
SC
Enumeration date
09/22/2005
Last updated
04/27/2017
Update your record

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