Provider Demographics
NPI:1932173457
Name:DODD, LAWRENCE D (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:D
Last Name:DODD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 21850
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71903-1850
Mailing Address - Country:US
Mailing Address - Phone:501-321-2226
Mailing Address - Fax:501-321-9705
Practice Address - Street 1:1662 HIGDON FERRY RD
Practice Address - Street 2:SUITE 300
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-6999
Practice Address - Country:US
Practice Address - Phone:501-321-2226
Practice Address - Fax:501-321-9705
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC8425207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR134158001Medicaid
AR4152730001Medicare NSC
AR5K727OtherBLUE CROSS BLUE SHIELD
AR134158001Medicaid