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Individual

DR. JASON LAWRENCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.

Contact information

Practice address
5655 HUDSON DR STE 310, HUDSON, OH 44236-4454
(330) 342-0930
Mailing address
63 WHARF ST, SUITE 100, MORGANTOWN, WV 26501-5937
(304) 542-2710

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30.025268
OH
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
4062
WV

Other

Enumeration date
06/13/2016
Last updated
01/04/2023
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