Individual
DR. LAWRENCE LAVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
8300 FLOYD CURL DR FL 3, SAN ANTONIO, TX 78229-3931
(210) 450-9300
(210) 450-6023
Mailing address
8300 FLOYD CURL DR FL 3, SAN ANTONIO, TX 78229-3931
(210) 450-9300
(210) 450-6023
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1067
TX
213ES0131X
Foot Surgery Podiatrist
Primary
1067
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1252397-05
—
TX
01
—
1252397-06
CSHCN
TX
01
—
8G8419
BLUE SHIELD
TX
01
—
P00009884
RR/MEDICARE
TX
Enumeration date
03/27/2006
Last updated
07/31/2024
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