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Individual

MICHAEL LAWRENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
BLDG 301 ANDREWS AVENUE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7084
Mailing address
BLDG 301 ANDREWS AVENUE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7084

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14347
AL

Other

Enumeration date
01/11/2017
Last updated
01/11/2017
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