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Individual

LAWRENCE ANDRADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1615 HAZEL AVE, CARTHAGE, MO 64836-3020
(417) 359-8803
Mailing address
1615 HAZEL AVE, CARTHAGE, MO 64836-3020
(417) 359-8803

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2025037196
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11491288
CAQH
NM
01
201042926
PRESBYTERIAN HEALTH/SALUD
NM
05
77609867
NM
01
806226
AHCCCS
AZ
01
85031326887301A162
CHAMPUS
01
NM009L08
BC/BS
NM
01
QMP000003701894
MOLINA
NM
Enumeration date
01/05/2006
Last updated
09/15/2025
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