Dr David A Lawrence, MD | |
1012 N Main St, Sikeston, MO 63801-5044 | |
(573) 471-0330 | |
(573) 471-0461 |
Full Name | Dr David A Lawrence |
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Gender | Male |
Speciality | Pediatrics |
Location | 1012 N Main St, Sikeston, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912985318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2002022538 (Missouri) | Primary |
Entity Name | Saint Francis Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356304489 PECOS PAC ID: 9931007929 Enrollment ID: O20040107000140 |
Mailing Address | Practice Location Address |
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Dr David A Lawrence, MD Po Box 801143, Kansas City, MO 64180-1143 Ph: (573) 331-5583 | Dr David A Lawrence, MD 1012 N Main St, Sikeston, MO 63801-5044 Ph: (573) 471-0330 |
Macy Faye Manier, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1012 N Main St, Sikeston, MO 63801 Phone: 573-471-0330 Fax: 573-471-0461 | |
Dr. Kevin J. Blanton, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1012 N Main St, Sikeston, MO 63801 Phone: 573-431-0330 Fax: 573-471-0461 | |
Dr. Andrew B. Boldrey, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1012 N Main St, Sikeston, MO 63801 Phone: 573-431-0330 Fax: 573-471-0461 |