Individual
LAWRENCE J HERBERHOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
911 S BROAD ST, SCOTTSBORO, AL 35768-2509
(256) 259-0185
(256) 259-0317
Mailing address
911 S BROAD ST, SCOTTSBORO, AL 35768-2509
(256) 259-0185
(256) 259-0317
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23961
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009990335
—
AL
01
—
51524140
BLUE CROSS
—
05
—
529923150
—
AL
Enumeration date
07/26/2005
Last updated
02/06/2013
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