Individual
LESLIE M. LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
(319) 369-7105
Mailing address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
(319) 369-7105
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18165
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1218941
—
IA
01
—
P00023416
RR MEDICARE
IA
Enumeration date
02/24/2006
Last updated
02/26/2008
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