Individual
SANDRA K LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9313 MEDICAL PLAZA DRIVE, STE 302, CHARLESTON, SC 29406-9197
(800) 922-0346
Mailing address
PO BOX 2630, SUMMERVILLE, SC 29484-2630
(800) 922-0346
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
ME18830
SC
2085N0904X
Nuclear Radiology Physician
ME18830
SC
2085P0229X
Pediatric Radiology Physician
ME18830
SC
2085R0202X
Diagnostic Radiology Physician
Primary
ME18830
SC
2085R0204X
Vascular & Interventional Radiology Physician
ME18830
SC
2085U0001X
Diagnostic Ultrasound Physician
ME18830
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0090-01331
MEDICAL LICENSE
NC
01
—
300065389
MEDICARE RR
—
05
—
T27398
—
SC
Enumeration date
08/07/2006
Last updated
07/27/2010
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