Individual
DYLAN SCOTT LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3077 N MAYFAIR RD STE 100, WAUWATOSA, WI 53222-4305
(414) 384-6700
(414) 727-1058
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5860
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
86082-20
WI
207X00000X
Orthopaedic Surgery Physician
A196615
CA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
86082-20
WI
Other
Enumeration date
06/10/2019
Last updated
10/27/2025
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