Provider Demographics
NPI:1528097904
Name:LAWRENCE, HILLARY SETH (MD)
Entity type:Individual
Prefix:DR
First Name:HILLARY
Middle Name:SETH
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1354 E 15TH ST
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-5029
Mailing Address - Country:US
Mailing Address - Phone:405-285-8823
Mailing Address - Fax:405-285-8824
Practice Address - Street 1:1354 E 15TH ST
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-5029
Practice Address - Country:US
Practice Address - Phone:405-285-8823
Practice Address - Fax:405-285-8824
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008029017207N00000X, 207R00000X, 208000000X, 207NP0225X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NP0225XAllopathic & Osteopathic PhysiciansDermatologyPediatric Dermatology
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics