Individual
MICHAEL LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
35 PEARL ST, SUITE 300, BROCKTON, MA 02301-2866
(508) 584-6300
(508) 580-4664
Mailing address
35 PEARL ST, SUITE 300, BROCKTON, MA 02301-2866
(508) 584-6300
(508) 580-4664
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
30943
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188301
—
MA
Enumeration date
05/18/2006
Last updated
07/20/2011
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