Provider Demographics
NPI:1336185982
Name:LAWRENCE, DARLENE
Entity type:Individual
Prefix:DR
First Name:DARLENE
Middle Name:
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 GALLATIN PL NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-3101
Mailing Address - Country:US
Mailing Address - Phone:202-526-2121
Mailing Address - Fax:202-526-1615
Practice Address - Street 1:1900 MASSACHUSETTS AVE SE
Practice Address - Street 2:BUILDING 29
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-2542
Practice Address - Country:US
Practice Address - Phone:202-548-6500
Practice Address - Fax:202-548-7526
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC19991207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine