Individual
LAWRENCE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7842 CAXTON CT, JACKSONVILLE, FL 32208-2529
(904) 236-9779
Mailing address
7842 CAXTON CT, JACKSONVILLE, FL 32208-2529
(904) 236-9779
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/05/2013
Last updated
06/05/2013
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