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THOMAS EARL LAWRENCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1331 N ELM ST STE 200, GREENSBORO, NC 27401-6304
(336) 274-6682
(336) 274-8097
Mailing address
PO BOX 85378, CHICAGO, IL 60689-5378
(336) 274-6682
(336) 274-8097

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
32945
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1326021437
VA
01
1601500
UNITED HEALTHCARE
NC
01
18334
PARTNERS
NC
01
300065899
RAILROAD MEDICARE
NC
01
51243
BLUE CROSS BLUE SHIELD
NC
01
70513
MEDCOST
NC
05
8951243
NC
Enumeration date
11/22/2005
Last updated
10/01/2025
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