Individual
DR. LAWRENCE WILLIAM GOOSS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
14415 JUSTICE RD, MIDLOTHIAN, VA 23113-6908
(804) 594-0125
(804) 594-0126
Mailing address
14415 JUSTICE RD, MIDLOTHIAN, VA 23113-6908
(804) 594-0125
(804) 594-0126
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102203274
VA
208600000X
Surgery Physician
5101018198
MI
Other
Enumeration date
06/04/2009
Last updated
07/21/2022
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