Provider Demographics
NPI:1710935457
Name:LAWRENCE, WILLIAM EMORY JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:EMORY
Last Name:LAWRENCE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:W
Other - Middle Name:EMORY
Other - Last Name:LAWRENCE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:131 STONE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SYLACAUGA
Mailing Address - State:AL
Mailing Address - Zip Code:35150-8969
Mailing Address - Country:US
Mailing Address - Phone:256-245-2567
Mailing Address - Fax:256-245-2567
Practice Address - Street 1:83825 HWY 9
Practice Address - Street 2:CLAY COUNTY HOSPITAL EMERGENCY DEPARTMENT
Practice Address - City:ASHLAND
Practice Address - State:AL
Practice Address - Zip Code:36251
Practice Address - Country:US
Practice Address - Phone:256-354-5200
Practice Address - Fax:256-354-5426
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00013548282NR1301X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered282NR1301XHospitalsGeneral Acute Care HospitalRural
Not Answered207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALC72502Medicare UPIN