Individual
LAWRENCE DUDLEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-1932
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F07171576
AL
Other
Enumeration date
10/13/2017
Last updated
11/07/2017
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