Individual
DR. JOHN M LAWRENCE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 WEST ST, DOUGLAS, MA 01516-2160
(508) 476-3291
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
261256
MA
Other
Enumeration date
06/22/2011
Last updated
12/16/2020
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