Provider Demographics
NPI:1962718023
Name:THOMAS L. LAWRENCE, M.D, P.A.
Entity type:Organization
Organization Name:THOMAS L. LAWRENCE, M.D, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:L
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PA
Authorized Official - Phone:850-942-3937
Mailing Address - Street 1:3401 CAPITAL MEDICAL BLVD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4425
Mailing Address - Country:US
Mailing Address - Phone:850-942-3937
Mailing Address - Fax:850-942-6279
Practice Address - Street 1:3401 CAPITAL MEDICAL BLVD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4425
Practice Address - Country:US
Practice Address - Phone:850-942-3937
Practice Address - Fax:850-942-6279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-27
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty