Individual
DR. IRA DONALD LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1845 N HOYNE AVE, CHICAGO, IL 60647-5543
(773) 551-2830
Mailing address
1845 N HOYNE AVE, CHICAGO, IL 60647-5543
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036.063703
IL
207R00000X
Internal Medicine Physician
036.063703
IL
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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