Provider Demographics
NPI:1952325888
Name:MORRIS, LAWRENCE C (DC)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:C
Last Name:MORRIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1585 SANTA BARBARA BLVD
Mailing Address - Street 2:STE A
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32159-6820
Mailing Address - Country:US
Mailing Address - Phone:352-430-2121
Mailing Address - Fax:352-430-2121
Practice Address - Street 1:536 KINGSLEY AVE STE 129
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073
Practice Address - Country:US
Practice Address - Phone:904-278-7246
Practice Address - Fax:904-278-8871
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH4992111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU22792Medicare UPIN
FL70652XMedicare ID - Type Unspecified