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Contact Information

NICOLE T LAWRENCE, MD
23 MACK BAYOU LOOP STE 100
SANTA ROSA BEACH, FL32459-2606
 Phone: 850-416-1575
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
 

Children

282NC2000X A0[7] Hospital-Children’s (PPS excluded)
Indicates primary specialty

NPI Profile & details for NICOLE T LAWRENCE · (Female)

NPI # 1326203589
Status Active
Credentials MD
Entity Individual
Enumeration date 07/26/2008
Last updated 03/17/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME111073
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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