Individual
NATHAN ANDREW CADE LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
272 CONGRESS ST, PORTLAND, ME 04101-3637
(207) 874-2466
Mailing address
272 CONGRESS ST, PORTLAND, ME 04101-3637
(207) 874-2466
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD27040
ME
207Q00000X
Family Medicine Physician
MD60976961
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2104236
—
WA
Enumeration date
03/30/2017
Last updated
08/21/2023
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