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Individual

LAWRENCE GROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6 HEARTHSTONE CT, SUITE 201, READING, PA 19606-3065
(610) 779-9550
(610) 779-6433
Mailing address
6 HEARTHSTONE CT, SUITE 201, READING, PA 19606-3065
(610) 779-9550
(610) 779-6433

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD016341E
PA
208000000X
Pediatrics Physician
Primary
MD016341E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000624121
PA
Enumeration date
11/03/2005
Last updated
02/14/2011
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