Lawrence D Kelley

NPI #1639166317 in Longwood, Florida

Provider Information

NPI Number: 1639166317
Entity Type: Organization
Organization Name: Lawrence D Kelley
Primary Specialty: Family Medicine
Enumeration Date: Sep 29, 2005
Last Updated: Oct 23, 2008

Practice Location

Address: 587 E STATE ROAD 434
Address 2: SUITE 1071
City: Longwood
State: Florida
ZIP Code: 32750-5201
Phone: (407) 767-8500

Authorized Official

Name: LAWRENCE DELANO KELLEY, M.D.
Title: OWNER
Phone: (407) 767-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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