Individual
DR. RUSSELL K LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS PL, STE C, SAINT LOUIS, MO 63110-1002
(314) 454-6148
(314) 454-4633
Mailing address
1 CHILDRENS PL, C B 8116, SAINT LOUIS, MO 63110-1002
(314) 454-6148
(314) 454-4633
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2008010722
MO
2080N0001X
Neonatal-Perinatal Medicine Physician
2008010722
MO
Other
Enumeration date
04/28/2008
Last updated
07/16/2009
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