Individual
DR. LAURENCE DAVIS FREDERICK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2808 MCLAMB PL, GOLDSBORO, NC 27534-1600
(919) 736-2157
(919) 580-0424
Mailing address
2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 27560-8442
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
38943
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2149372
—
NC
05
—
8933844
—
NC
Enumeration date
01/20/2006
Last updated
05/08/2021
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