Individual
RYAN ELIOT LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1430 TULANE AVE # 8036, NEW ORLEANS, LA 70112-2632
(504) 988-5114
Mailing address
1430 TULANE AVE # 8036, NEW ORLEANS, LA 70112-2632
(504) 988-5114
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
322953
LA
207R00000X
Internal Medicine Physician
BP10067107
TX
Other
Enumeration date
04/18/2019
Last updated
08/10/2020
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