DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHARLES EDWIN LAURENCE, MD

Deactivated Sole Proprietor

DR. CHARLES EDWIN LAURENCE, MD is a Family Medicine healthcare provider located in LOCKHART, Texas. NPI 1285641001 is deactivated in the NPPES registry. Verify at CMS.

Family Medicine · LOCKHART, TX

This NPI has been deactivated. The record was deactivated on July 24, 2007. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1285641001
Provider Type
Individual
Gender
Male
NPI Issued
Aug 2, 2006 (0.97534246575342 yrs)
Last Updated
Dec 30, 2010
Deactivated
Jul 24, 2007
License
G1943 (TX)
Sole Proprietor
Yes

Practice Information

Address
1301 SOUTH MEDINA
LOCKHART, TX, 78644
Browse TX providers · Browse ZIP 78644
Phone
5123983464
Fax
5123986843
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in LOCKHART, TX

Name Credential NPI
DR. ANDREW HARVEY WEARY M.D. 1609861517
DR. KIMBERLY WHEELER M.D. 1679527147
DR. BARTON JAMES ROMANEK M.D. 1417901513
RANDALL WESLEY KIRTLEY M.D. 1457374621
DR. GUSTAVO BOETA-LOPEZ MD 1275282873
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.