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Contact Information

VALERIE E LAWRENCE, MD
2512 HURST DR
STE 130
MATTOON, IL61938
 Phone: 217-258-5900
 Fax: 217-258-3686
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for VALERIE E LAWRENCE · (Female)

NPI # 1912265117
Status Active
Credentials MD
Entity Individual
Enumeration date 04/25/2012
Last updated 08/06/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036138867
  • NY License # 63210
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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