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Individual

DR. DANIEL C. LAWRENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
263 MCLAWS CIR, SUITE 105, WILLIAMSBURG, VA 23185-5674
(757) 941-5600
(757) 564-0557
Mailing address
301 CONCOURSE BLVD, SUITE 210, GLEN ALLEN, VA 23059-5643
(804) 433-1040
(804) 553-3860

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101033289
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010017246
VA
01
080191096
RAILROAD MEDICARE
VA
01
101719
ANTHEM BCBS OF VA
VA
01
232426
MAMSI
VA
01
3349759
CIGNA
VA
01
4065064
AETNA HMO
VA
01
43439
SENTARA
VA
01
57537
SOUTHERN HEALTH SERVICES
VA
Enumeration date
07/11/2006
Last updated
09/18/2012
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