Organization
WALTER LAWRENCE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER J LAWRENCE (MD)
(334) 475-2058
Entity
Organization
Contact information
Practice address
551 GLOVER AVE, ENTERPRISE, AL 36330-2041
(334) 475-2058
(334) 489-4308
Mailing address
PO BOX 311991, ENTERPRISE, AL 36331-1991
(334) 475-2058
(334) 489-4308
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25503
AL
2083A0100X
Aerospace Medicine Physician
25503
AL
Other
Enumeration date
11/19/2013
Last updated
07/21/2022
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