Provider Demographics
NPI:1245009679
Name:LAWRENCE, RAOUL
Entity type:Individual
Prefix:
First Name:RAOUL
Middle Name:
Last Name:LAWRENCE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 7TH ST NW APT 802
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-3521
Mailing Address - Country:US
Mailing Address - Phone:202-701-0376
Mailing Address - Fax:
Practice Address - Street 1:1301 7TH ST NW APT 802
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-3521
Practice Address - Country:US
Practice Address - Phone:202-701-0376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health