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Individual

LAWRENCE WINTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
ME10402
FL
208800000X
Urology Physician
Primary
ME0010402
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
047513100
FL
01
1193520
WELLCARE
FL
01
4068077
AETNA PROVIDER #
FL
01
90635
BCBS FL
FL
01
P0003169
FLORIDA HEALTHCARE PLUS
FL
01
P00721040
RAILROAD MEDICARE
FL
01
WELLCARE
1193520
FL
Enumeration date
04/10/2006
Last updated
05/02/2016
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