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Individual

LAWRENCE ERNEST COOTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1893 KINGSLEY AVE, STE C, ORANGE PARK, FL 32073-4491
(904) 276-2044
(904) 276-2106
Mailing address
1893 KINGSLEY AVE, STE C, ORANGE PARK, FL 32073-4491
(904) 276-2044
(904) 276-2106

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME77495
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
256251100
FL
Enumeration date
08/08/2006
Last updated
01/23/2012
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