Individual
DR. GARY MONROE LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1919 E MEMORIAL RD, OKLAHOMA CITY, OK 73131-1253
(405) 341-7009
(405) 330-1811
Mailing address
4401 W MEMORIAL RD, SUITE 140, OKLAHOMA CITY, OK 73134-1785
(405) 752-3162
(405) 936-5211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14150
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100135780A
—
OK
01
—
100135780B
SOONERCARE
OK
Enumeration date
12/20/2005
Last updated
05/20/2014
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