Individual
DR. WALTER THOMAS LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1007
(319) 384-9961
(319) 353-6511
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1007
(319) 384-9961
(319) 353-6511
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
38784
IA
2086S0122X
Plastic and Reconstructive Surgery Physician
04-28457
KS
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
38784
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100348020A
—
KS
Enumeration date
08/17/2006
Last updated
01/25/2010
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