Individual
LAWRENCE EDWARD DONATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1800 CAMELOT DR, SUITE 300, VIRGINIA BEACH, VA 23454-2440
(757) 321-3383
(757) 321-3330
Mailing address
230 CLEARFIELD AVE, SUITE 124, VIRGINIA BEACH, VA 23462-1832
(757) 321-3383
(757) 321-3332
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0102201880
VA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
0102201880
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C05501
MEDICARE GROUP
VA
Enumeration date
05/25/2006
Last updated
04/07/2022
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