Individual
MR. LAWRENCE M GNAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4600 4TH STREET NORTH, ST PETERSBURG, FL 33703-3802
(727) 527-5272
(727) 522-7412
Mailing address
4600 4TH STREET NORTH, ALL FLORIDA ORTHOPAEDIC ASSOCIATES, ST PETERSBURG, FL 33703-3802
(727) 527-5272
(727) 522-7412
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0036210
FL
207X00000X
Orthopaedic Surgery Physician
ME36210
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045965800
—
FL
Enumeration date
02/08/2006
Last updated
10/19/2011
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