Provider Demographics
NPI:1467431528
Name:LAWRENCE, DON ALLEN (DO)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:ALLEN
Last Name:LAWRENCE
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:21923 DEER CYN
Mailing Address - Street 2:
Mailing Address - City:GARDEN RIDGE
Mailing Address - State:TX
Mailing Address - Zip Code:78266-2140
Mailing Address - Country:US
Mailing Address - Phone:210-364-5085
Mailing Address - Fax:
Practice Address - Street 1:2200 BERGQUIST DR
Practice Address - Street 2:ATTN: CREDENTIALS (CMC)
Practice Address - City:LACKLAND A F B
Practice Address - State:TX
Practice Address - Zip Code:78236-9908
Practice Address - Country:US
Practice Address - Phone:210-292-6707
Practice Address - Fax:210-292-7964
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL0367207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine