Individual
DR. RICHARD LLOYD LAWRENCE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
939 BOB ARNOLD BLVD, SUITE G, LITHIA SPRINGS, GA 30122-3258
(678) 945-3939
(678) 945-3935
Mailing address
939 BOB ARNOLD BLVD, SUITE G, LITHIA SPRINGS, GA 30122-3258
(678) 945-3939
(678) 945-3935
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
25403
SC
207W00000X
Ophthalmology Physician
27365
AL
207W00000X
Ophthalmology Physician
Primary
57389
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11552353
CAQH
GA
01
—
1336197490
NPI INDIVIDUAL
—
Enumeration date
05/04/2006
Last updated
05/15/2008
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