Provider Demographics
NPI:1770567323
Name:LAWRENCE, LESLIE MAY (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:MAY
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:DMD, MS
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2705 MUSKOGEE ST
Mailing Address - Street 2:
Mailing Address - City:ADELPHI
Mailing Address - State:MD
Mailing Address - Zip Code:20783-1428
Mailing Address - Country:US
Mailing Address - Phone:810-444-7749
Mailing Address - Fax:
Practice Address - Street 1:600 W STREET NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20059-0001
Practice Address - Country:US
Practice Address - Phone:202-806-0003
Practice Address - Fax:202-806-0478
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN10006071223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry