Provider Demographics
NPI:1205046620
Name:SHIRLEY, LAWRENCE ANDREW (MD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:ANDREW
Last Name:SHIRLEY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1760 NICHOLASVILLE RD
Mailing Address - Street 2:STE 202
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-1472
Mailing Address - Country:US
Mailing Address - Phone:859-277-5711
Mailing Address - Fax:859-967-1770
Practice Address - Street 1:1760 NICHOLASVILLE RD
Practice Address - Street 2:STE 202
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1472
Practice Address - Country:US
Practice Address - Phone:859-277-5711
Practice Address - Fax:859-967-1770
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2020-07-08
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Provider Licenses
StateLicense IDTaxonomies
KY53721208600000X, 2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0074540Medicaid
OHH136041Medicare PIN