Provider Demographics
NPI:1558562264
Name:LAWRENCE, SCOTT DAVID (MD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:DAVID
Last Name:LAWRENCE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:17 N MEDICAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:FISHERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22939-2344
Mailing Address - Country:US
Mailing Address - Phone:540-213-7720
Mailing Address - Fax:540-213-7481
Practice Address - Street 1:425 S LINDEN AVE
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:VA
Practice Address - Zip Code:22980-3505
Practice Address - Country:US
Practice Address - Phone:540-213-7720
Practice Address - Fax:540-949-0545
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2021-03-01
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Provider Licenses
StateLicense IDTaxonomies
VA0101246457207W00000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology