Individual
KENNETH GRAHAM LAWRENCE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
406 MEMORIAL DRIVE EXT, GREER, SC 29651-1818
(864) 877-9066
(864) 848-3291
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8398
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083983
—
SC
01
—
26868
MEDCOST
SC
01
—
4317938
AETNA
SC
Enumeration date
01/30/2006
Last updated
06/25/2012
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