Individual
BRADFORD W LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5045 HICKORY BLVD, HICKORY, NC 28601-8920
(828) 212-1020
(828) 212-1024
Mailing address
PO BOX 509, SYLVA, NC 28779-0509
(828) 339-7268
(828) 586-8209
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101975
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
155KE
BCBS NC
NC
Enumeration date
04/04/2006
Last updated
02/22/2016
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