Individual
DR. TIMOTHY MELVIN LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
4333 MONROE ST, SUITE A, TOLEDO, OH 43606-1981
(419) 473-2707
(419) 473-0142
Mailing address
4333 MONROE ST, SUITE A, TOLEDO, OH 43606-1981
(419) 473-2707
(419) 473-0142
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
16301
OH
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2901012686
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0699874
—
OH
Enumeration date
12/28/2006
Last updated
07/08/2007
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