Individual
DR. LAWRENCE JOHN DE LAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
26 ORIGINS MAIN ST STE 219, INLET BEACH, FL 32461-8647
(850) 407-2095
(850) 407-2095
Mailing address
26 ORIGINS MAIN ST STE 219, INLET BEACH, FL 32461-8647
(850) 407-2095
(850) 407-2095
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301505912
MI
2084P0800X
Psychiatry Physician
57260-20
WI
2084P0800X
Psychiatry Physician
MD28817
ME
2084P0800X
Psychiatry Physician
MD61573411
WA
2084P0800X
Psychiatry Physician
Primary
ME155724
FL
Other
Enumeration date
11/13/2008
Last updated
11/05/2024
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