Individual
LAWRENCE JAMES ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
901 VENETIA BAY BLVD STE 300, VENICE, FL 34285-8044
(941) 497-5511
(941) 492-2221
Mailing address
901 VENETIA BAY BLVD STE 300, VENICE, FL 34285-8044
(941) 497-5511
(941) 492-2221
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
OS0007414
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257322900
—
FL
Enumeration date
06/21/2005
Last updated
09/14/2020
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