Provider Demographics
NPI:1083959555
Name:KERR, LAWRRENCE S (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRRENCE
Middle Name:S
Last Name:KERR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:634 HATRICK RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29209-2413
Mailing Address - Country:US
Mailing Address - Phone:803-360-0969
Mailing Address - Fax:
Practice Address - Street 1:634 HATRICK RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29209-2413
Practice Address - Country:US
Practice Address - Phone:803-360-0969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-10
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10968207R00000X, 209800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No209800000XAllopathic & Osteopathic PhysiciansLegal Medicine