Active NPI
Laura T Lawrence, M.D.
- Reproductive Endocrinology Physician
- Dallas, TX
National Provider Identifier
1346284627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- N4245
- Practice address
- 5477 Glen Lakes Drive
Suite 200
Dallas, TX 75231 - Phone
- (214) 363-5965
- Fax
- (214) 363-0639
- NPI assigned
- Jun 16, 2006
- Last updated
- Feb 24, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 2006012216 | MO | |
| Reproductive Endocrinology Physician | 207VE0102X | N4245 | TX | Primary |
Addresses
Primary practice location
5477 Glen Lakes Drive
Suite 200
Dallas, TX 75231
Mailing address
5477 Glen Lakes Drive
Suite 200
Dallas, TX 75231
Phone (214) 363-5965
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200916302 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006012216 | MO | MD | Gynecology Physician |
| N4245 | TX | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas Fort Worth Ivf LLC | Past | Accepting new patients | |
| Dallas-Fort Worth Fertility Associates, P.a. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Dallas Fertility Center
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1649585456
-
dba DFW Fertility Associates
- Medical Specialty Clinic/Center
- Dallas, TX
- NPI 1982808218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456272000000",
"number": "1346284627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5477 GLEN LAKES DRIVE",
"address_2": "SUITE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "75231",
"telephone_number": "214-363-5965",
"fax_number": "214-363-0639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5477 GLEN LAKES DRIVE",
"address_2": "SUITE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "75231",
"telephone_number": "214-363-5965",
"fax_number": "214-363-0639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE",
"first_name": "LAURA",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2016-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MO",
"license": "2006012216",
"primary": false
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "TX",
"license": "N4245",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200916302",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.