Individual
MICHAEL T. LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 W MOUNT ROYAL AVE, BALTIMORE, MD 21217-4247
(410) 225-8855
Mailing address
PO BOX 64522, BALTIMORE, MD 21264-4522
(410) 225-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0051148
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080191606
RR MEDICARE
—
05
—
114800100
—
MD
01
—
220540006
JAI MCO
MD
01
—
54139
COVENTRY HEALTHCARE OF DE
DE
01
—
K760
BCBS MD
MD
Enumeration date
11/14/2006
Last updated
04/16/2008
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