Provider Demographics
NPI:1801992854
Name:CORRENTI, LAWRENCE MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:MICHAEL
Last Name:CORRENTI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7950 MARTIN LOOP
Mailing Address - Street 2:
Mailing Address - City:FORT BENNING
Mailing Address - State:GA
Mailing Address - Zip Code:31905-5647
Mailing Address - Country:US
Mailing Address - Phone:706-544-3590
Mailing Address - Fax:706-544-4261
Practice Address - Street 1:7950 MARTIN LOOP
Practice Address - Street 2:MARTIN ARMY HOSPITAL, DEPT OF BEHAVIORAL HEALTH
Practice Address - City:FORT BENNING
Practice Address - State:GA
Practice Address - Zip Code:31905-5647
Practice Address - Country:US
Practice Address - Phone:706-544-3590
Practice Address - Fax:706-544-4261
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2010-05-06
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Provider Licenses
StateLicense IDTaxonomies
GA300352084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry