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A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
2083A0300X | 84 | Physician/Preventive Medicine | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Pain Medicine |
2081P2900X | 25 | Physician/Physical Medicine and Rehabilitation | |
Public Health & General Preventive Medicine |
2083P0901X | 84 | Physician/Preventive Medicine |
| NPI # | 1295499309 |
| LBN Legal business name | ST LAWRENCE LLC |
| Authorized official | JAMES ROTCHFORD - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/25/2021 |
| Last updated | 10/25/2021 - About 5 years ago |
| Identifiers | n/a |
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ST LAWRENCE LLC
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ST LAWRENCE LLC