Individual
DR. LAWRENCE A ROBILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 MEDICAL PARK RD STE 107, COLUMBIA, SC 29203-6839
(803) 434-4480
(803) 434-3340
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
048817
GA
207V00000X
Obstetrics & Gynecology Physician
Primary
20666
SC
207V00000X
Obstetrics & Gynecology Physician
4301050507
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G48817
—
SC
01
—
SC83593365
MEDICARE PIN
SC
Enumeration date
09/22/2005
Last updated
02/13/2024
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