Provider Demographics
NPI:1073532354
Name:PHILLIPS, LAWRENCE S (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:S
Last Name:PHILLIPS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:DIVISION OF ENDOCRINOLOGY EMORY UNIVERSITY
Mailing Address - Street 2:101 WOODRUFF CIRCLE, ROOM 1027
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-0001
Mailing Address - Country:US
Mailing Address - Phone:404-727-1392
Mailing Address - Fax:404-727-1300
Practice Address - Street 1:DIVISION OF ENDOCRINOLOGY EMORY UNIVERSITY
Practice Address - Street 2:101 WOODRUFF CIRCLE, ROOM 1027
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-0001
Practice Address - Country:US
Practice Address - Phone:404-727-1392
Practice Address - Fax:404-727-1300
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA025016207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAD14187Medicare UPIN