Individual
DR. LAWRENCE LUTHER COPENHAVER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1295 W FAIRFIELD DR, PENSACOLA, FL 32501-1107
(850) 912-8880
(850) 912-8779
Mailing address
2315 W JACKSON ST, PENSACOLA, FL 32505-7552
(850) 436-4630
(850) 436-2095
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN8846
FL
1223D0001X
Public Health Dentistry
DN08846
FL
Other
Enumeration date
04/27/2006
Last updated
03/27/2025
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