Individual
LAWRENCE DANIEL MULLANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD MBA FACP
Contact information
Practice address
12272 DECLARATION AVE, CHESTER, VA 23836-3057
(941) 779-3793
Mailing address
12272 DECLARATION AVE, CHESTER, VA 23836-3057
(941) 779-3793
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
0101257022
VA
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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