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Organization

SANDRA LAWRENCE MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANDRA LAWRENCE MD (OWNER)
(954) 696-5623
Entity
Organization

Contact information

Practice address
9960 CENTRAL PARK BLVD N STE 225, BOCA RATON, FL 33428-1705
(954) 696-5623
(561) 756-8969
Mailing address
PO BOX 970845, BOCA RATON, FL 33497-0845
(954) 696-5623
(561) 756-8969

Taxonomy

Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
255036900
FL
Enumeration date
07/13/2022
Last updated
07/13/2022
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