| Lawrence D Kelley | |
|
587 E State Road 434 Suite 1071 Longwood FL 32750-5201 | |
| (407) 767-8500 | |
| (407) 767-6999 |
| Full Name | Lawrence D Kelley |
|---|---|
| Speciality | Family Medicine |
| Location | 587 E State Road 434, Longwood, Florida |
| Authorized Official Name and Position | Lawrence Delano Kelley (OWNER) |
| Authorized Official Contact | 4077678500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence D Kelley 587 E State Road 434 Suite 1071 Longwood FL 32750-5201 Ph: (407) 767-8500 | Lawrence D Kelley 587 E State Road 434 Suite 1071 Longwood FL 32750-5201 Ph: (407) 767-8500 |
| NPI Number | 1639166317 |
|---|---|
| Provider Enumeration Date | 09/29/2005 |
| Last Update Date | 10/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639166317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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