Individual
DR. CHARLES A LAWRENCE
Active
Individual
DR. CHARLES A LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
11287
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0748750001
CIGNA DMERC
OK
05
—
100729900A
—
OK
01
—
730794467001
BLUE CROSS BLUE SHIELD
OK
01
—
862183393
RAILROAD MEDICARE
OK
Enumeration date
07/12/2005
Last updated
03/09/2011
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