Provider Demographics
NPI:1932149028
Name:CONLEY, LAWRENCE L II (DO)
Entity type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:L
Last Name:CONLEY
Suffix:II
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:120 MEDICAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:WALTERBORO
Mailing Address - State:SC
Mailing Address - Zip Code:29488-5719
Mailing Address - Country:US
Mailing Address - Phone:843-782-4141
Mailing Address - Fax:843-549-7967
Practice Address - Street 1:120 MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:WALTERBORO
Practice Address - State:SC
Practice Address - Zip Code:29488-5719
Practice Address - Country:US
Practice Address - Phone:843-782-4141
Practice Address - Fax:843-549-7967
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC37650207X00000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC6042E756Medicare PIN