Individual
MR. LAWRENCE EDWIN RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8096 RIVERS AVE STE A, NORTH CHARLESTON, SC 29406-9243
(843) 818-2020
(843) 818-2379
Mailing address
8096 RIVERS AVE STE A, NORTH CHARLESTON, SC 29406-9243
(843) 818-2020
(843) 818-2379
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
905
SC
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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