Individual
JEFFREY LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
180 CORLISS ST STE C, PROVIDENCE, RI 02904-2602
(401) 793-4636
(401) 793-4639
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD17008
RI
Other
Enumeration date
06/17/2010
Last updated
12/16/2025
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