Individual
DR. LAWRENCE R COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
964 RIBAUT RD STE 1, BEAUFORT, SC 29902-5425
(843) 524-5437
(843) 524-0425
Mailing address
964 RIBAUT RD, SUITE 1, BEAUFORT, SC 29902-5429
(843) 524-7833
(843) 524-0425
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12282
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122824
—
SC
Enumeration date
04/18/2006
Last updated
07/25/2019
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