Individual
LAWRENCE LEA COCKROFT GILLILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3850 S NATIONAL AVE, SUITE 300, SPRINGFIELD, MO 65807-5287
(417) 269-6170
(417) 269-6992
Mailing address
PO BOX 3262, SPRINGFIELD, MO 65808-3262
(417) 885-3888
(417) 881-7268
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101247434
VA
2085R0202X
Diagnostic Radiology Physician
2011017818
MO
2085R0202X
Diagnostic Radiology Physician
Primary
72242
GA
2085U0001X
Diagnostic Ultrasound Physician
390200000X
TN
Other
Enumeration date
06/01/2007
Last updated
03/06/2023
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