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Individual

DR. WILLIAM WESLEY LAWRENCE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2609 N DUKE ST, SUITE 1000, DURHAM, NC 27704-3048
(919) 220-4000
Mailing address
2501 MAIL SERVICE CTR, NC DIVISION OF MEDICAL ASSISTANCE, RALEIGH, NC 27699-2500
(919) 855-4100
(919) 733-6608

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9700630
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5907790
NC
Enumeration date
07/31/2007
Last updated
01/05/2009
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