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Organization

CHARLES E. LAURENCE MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHERYL LAURENCE (OFFICE MANAGER)
(512) 398-3464
Entity
Organization

Contact information

Practice address
1301 S MEDINA ST, LOCKHART, TX 78644-3856
(512) 398-3464
(512) 398-6843
Mailing address
1301 S MEDINA ST, LOCKHART, TX 78644-3856
(512) 398-3464
(512) 398-6843

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G1943
TX

Other

Enumeration date
06/06/2007
Last updated
04/20/2008
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