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Individual

DR. KELLY MICHAEL LAWRENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
235 W 6TH ST, RENO, NV 89503
(775) 770-6490
(775) 770-3944
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3800
(702) 653-3253

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-45853
KS
207R00000X
Internal Medicine Physician
17990
NV
207R00000X
Internal Medicine Physician
35.120908
OH
207R00000X
Internal Medicine Physician
84718
SC
208M00000X
Hospitalist Physician
04-45853
KS
208M00000X
Hospitalist Physician
Primary
17990
NV
208M00000X
Hospitalist Physician
84718
SC
208M00000X
Hospitalist Physician
MD60615589
WA

Other

Enumeration date
02/02/2011
Last updated
11/13/2024
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