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Individual

LAWRENCE G. SHORY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5401 E LAKE BLVD, 117MDG, BIRMINGHAM, AL 35217-3545
(205) 714-2213
Mailing address
77 SWEETGUM RD, LAWRENCEVILLE, GA 30045-5034

Taxonomy

Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
14751
AL

Other

Enumeration date
02/10/2006
Last updated
07/08/2007
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