Charles E. Laurence MD

Organization Active NPI Family Medicine Physician · Lockhart, TX

NPI 1497958680 · NPPES record last updated Apr 20, 2008

Key facts

NPI
1497958680
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
G1943 (TX)
Legal business name
CHARLES E. LAURENCE MD
Practice address
1301 S Medina St
Lockhart, TX 78644-3856
Phone
(512) 398-3464
Fax
(512) 398-6843
NPI assigned
Jun 6, 2007
Organization subpart
No

Authorized official

Name
Mrs. Cheryl Laurence
Title
Office Manager
Phone
(512) 398-3464

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X G1943 TX Yes

Addresses

Primary practice location

1301 S Medina St
Lockhart, TX 78644-3856

Mailing address

1301 S Medina St
Lockhart, TX 78644-3856
Phone (512) 398-3464

Other providers in Lockhart, TX

All providers in Lockhart, TX · Family Medicine Physician in Texas

Sources for this page

Verify at the official NPI Registry.