Provider Demographics
NPI:1306826722
Name:POTTER, LAWRENCE H JR (MD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:H
Last Name:POTTER
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 603725
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-3725
Mailing Address - Country:US
Mailing Address - Phone:828-575-2625
Mailing Address - Fax:828-350-2174
Practice Address - Street 1:1372 WESTGATE CENTER DR
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-2932
Practice Address - Country:US
Practice Address - Phone:336-659-4814
Practice Address - Fax:336-768-4745
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2025-11-30
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Provider Licenses
StateLicense IDTaxonomies
NC2025-03239207K00000X
VA0101102717207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology