Provider Demographics
NPI:1770582553
Name:LAWRENCE, THOMAS P (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:P
Last Name:LAWRENCE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10445 OLD OCEAN CITY BLVD
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811-1134
Mailing Address - Country:US
Mailing Address - Phone:410-641-4200
Mailing Address - Fax:410-641-0291
Practice Address - Street 1:10445 OLD OCEAN CITY BLVD
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811-1134
Practice Address - Country:US
Practice Address - Phone:410-641-4200
Practice Address - Fax:410-641-0291
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2010-01-14
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Provider Licenses
StateLicense IDTaxonomies
MDD0056071207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B71046Medicare UPIN