Individual
DR. MARTHA M. LAWRENCE
Active
Individual
DR. MARTHA M. LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
3065
ME
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
FTP589
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FTP589
UNIVERSITY OF FLORIDA TEACHING PERMIT
FL
01
—
MM0862
PROVIDER NUMBER
ME
Enumeration date
05/24/2005
Last updated
08/14/2013
Update your record
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