Individual
JASON ANDREW LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3410 COUNTY ST, PORTSMOUTH, VA 23707-3205
(757) 393-2968
Mailing address
1732 ROWLOCK RD, CHESAPEAKE, VA 23321-3317
(757) 488-3987
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401417021
VA
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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