Provider Demographics
NPI:1568589000
Name:MCDONALD, LAWRENCE STEPHEN (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:STEPHEN
Last Name:MCDONALD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35817 SPINNAKER CIR
Mailing Address - Street 2:MAS SUR MER
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-5007
Mailing Address - Country:US
Mailing Address - Phone:302-644-0136
Mailing Address - Fax:
Practice Address - Street 1:23207 DUPONT BLVD
Practice Address - Street 2:SCI
Practice Address - City:GEORGETOWN
Practice Address - State:DE
Practice Address - Zip Code:19947-2664
Practice Address - Country:US
Practice Address - Phone:302-856-5563
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0006059207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine