Individual
LAWRENCE R. HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1511 SW 1ST AVE, OCALA, FL 34474-4001
(352) 867-8311
(352) 622-5771
Mailing address
PO BOX 3130, OCALA, FL 34478-3130
(352) 867-8311
(352) 622-5771
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME78441
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256716400
—
FL
01
—
46833
BCBS FL
FL
01
—
46833T
MEDICARE PTAN MID FL CARDIOVASCULAR ANESTHESIA ASSOCIATES
FL
Enumeration date
06/30/2006
Last updated
08/16/2016
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