Individual
JEFFREY LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2017 W I 35 FRONTAGE RD, STE 170, EDMOND, OK 73013-8504
(405) 757-3365
(405) 757-3499
Mailing address
2017 W I 35 FRONTAGE RD, STE 170, EDMOND, OK 73013-8504
(405) 757-3365
(405) 757-3499
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27978
OK
Other
Enumeration date
03/19/2010
Last updated
01/13/2017
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