Charles E. Laurence MD

NPI #1497958680 in Lockhart, Texas

Provider Information

NPI Number: 1497958680
Entity Type: Organization
Organization Name: Charles E. Laurence MD
Primary Specialty: Family Medicine
Enumeration Date: Jun 6, 2007
Last Updated: Apr 20, 2008

Practice Location

Address: 1301 S MEDINA ST
City: Lockhart
State: Texas
ZIP Code: 78644-3856
Phone: (512) 398-3464

Authorized Official

Name: MRS. CHERYL LAURENCE
Title: OFFICE MANAGER
Phone: (512) 398-3464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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