Provider Demographics
NPI:1982611786
Name:SIMPSON, LAWRENCE E III (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:E
Last Name:SIMPSON
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:1357 HEMBREE RD
Mailing Address - Street 2:150
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-5722
Mailing Address - Country:US
Mailing Address - Phone:770-664-6075
Mailing Address - Fax:770-664-5131
Practice Address - Street 1:1357 HEMBREE RD
Practice Address - Street 2:150
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-5722
Practice Address - Country:US
Practice Address - Phone:770-664-6075
Practice Address - Fax:770-664-5131
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2018-09-27
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Provider Licenses
StateLicense IDTaxonomies
GA40550207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA202I061129Medicare PIN
GAF83348Medicare UPIN
GA000875608IJKLMNOPMedicaid