Lawrence Etter, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

200300969 Issued in NC

Practice address

3008 Pickett Rd
Durham, NC 27705-6006

Phone

(919) 286-7903

Fax

(919) 286-7151

NPI assigned

Nov 14, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Triangle Dermatology Associates PA

  • Dermatology Physician
  • Durham, NC
  • NPI 1871547364
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1144202441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 PICKETT RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277056006",
            "telephone_number": "919-286-7903",
            "fax_number": "919-286-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 PICKETT RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277056006",
            "telephone_number": "919-286-7903",
            "fax_number": "919-286-7151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "823 Broad St",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277054137",
            "country_code": "US",
            "telephone_number": "919-286-7903",
            "fax_number": "919-286-7151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETTER",
        "first_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "200300969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89134NR",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LIC",
            "identifier": "200300969",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hunter Etheridge
• Karolyne Batey Etheridge, LCSWA
• Samaria Nicole Etheridge
• Becky Diale Etongwe
• John Lewis Etter
• Elizabeth Rogers Eubanks, PHARMD
• Marcellas Eubanks, LPCA, LCAS-P, CRC
• Stephanie A Eucker, MD
• Jinny Eun, MMSC
• Rebecca Marie Shelton Evangelista, PA-C

• Dermatology Physician in Durham, NC
• Providers in Durham, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.