Individual
DR. MICHAEL L. LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
310 E OWEN K GARRIOTT RD, ENID, OK 73701-5712
(580) 249-3795
(580) 234-3299
Mailing address
PO BOX 844737, DALLAS, TX 75284-4737
(580) 249-3795
(580) 234-3299
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4206
OK
207Q00000X
Family Medicine Physician
Primary
4206
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200060100A
—
OK
Enumeration date
10/25/2005
Last updated
07/10/2015
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