Individual
DR. JAMES S. LAWRENCE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
506 N LINE ST, COLUMBIA CITY, IN 46725-1230
(260) 248-4242
(260) 248-4222
Mailing address
506 N LINE ST, COLUMBIA CITY, IN 46725-1230
(260) 248-4242
(260) 248-4222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007360
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1200736
DELTA
IN
01
—
1506
PHP
IN
01
—
351909446-001
BLUE CROSS BLUE SHIELD
IN
Enumeration date
08/04/2005
Last updated
07/09/2007
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