Individual
LAWRENCE LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
275 COLLIER RD NW STE 300, ATLANTA, GA 30309-1740
(404) 350-0009
Mailing address
183 MARLOW DR, WOODSTOCK, GA 30188-5208
(203) 606-5332
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
7741
GA
Other
Enumeration date
12/01/2009
Last updated
01/28/2019
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