Individual
DR. LAWRENCE KENNETH SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9 RICHLAND MEDICAL PARK DR STE 210, COLUMBIA, SC 29203-6859
(803) 935-5604
(803) 935-5380
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
19804
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T38705
—
SC
Enumeration date
06/29/2006
Last updated
03/13/2018
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