Provider Demographics
NPI:1144206053
Name:WELCOME, GEORGE LAWRENCE JR
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:LAWRENCE
Last Name:WELCOME
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6178 CORNING RD
Mailing Address - Street 2:
Mailing Address - City:COCOA
Mailing Address - State:FL
Mailing Address - Zip Code:32927-8861
Mailing Address - Country:US
Mailing Address - Phone:321-632-5529
Mailing Address - Fax:
Practice Address - Street 1:2100 2ND ST SW
Practice Address - Street 2:SUITE 5314
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20593-0002
Practice Address - Country:US
Practice Address - Phone:305-953-2266
Practice Address - Fax:305-953-2308
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other