DR. Lawrence Ezra Green, M.D.

NPI #1558732735 in Eustis, Florida

Provider Information

NPI Number: 1558732735
Entity Type: Individual
Name: DR. Lawrence Ezra Green, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Oct 13, 2015
Last Updated: Oct 13, 2015

Practice Location

Address: 27 S CENTER ST
City: Eustis
State: Florida
ZIP Code: 32726-4147
Phone: (352) 589-6500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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