Individual
LAWRENCE EDWARD MALLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
8200 WEDNESBURY LN, STE 105, HOUSTON, TX 77074-2925
(713) 271-2030
Mailing address
2028 DRYDEN RD, HOUSTON, TX 77030-1206
(713) 851-5989
(713) 529-6508
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
E4891
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00AJ67
BLUE CROSS/BLUE SHIELD
TX
05
—
140245520
—
TX
Enumeration date
07/26/2006
Last updated
11/13/2012
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