Provider Demographics
NPI:1598760647
Name:ADAMS, LAWRENCE MARK (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:MARK
Last Name:ADAMS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4631 N CONGRESS AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-3238
Mailing Address - Country:US
Mailing Address - Phone:561-840-1960
Mailing Address - Fax:561-863-8155
Practice Address - Street 1:4631 N CONGRESS AVE STE 101
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-3238
Practice Address - Country:US
Practice Address - Phone:561-840-1960
Practice Address - Fax:561-863-8155
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2020-05-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME506092080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL045957700Medicaid
FL045957700Medicaid