Provider Demographics
NPI:1538645502
Name:LAWRENCE MEDICAL SUPPLIES
Entity Type:Organization
Organization Name:LAWRENCE MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-569-6890
Mailing Address - Street 1:1581 LESTER RD NW STE B8
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30012-3950
Mailing Address - Country:US
Mailing Address - Phone:404-563-6890
Mailing Address - Fax:478-219-7218
Practice Address - Street 1:1581 LESTER RD NW STE B8
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30012-3950
Practice Address - Country:US
Practice Address - Phone:404-563-6890
Practice Address - Fax:478-219-7218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-12
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies