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1114035284
LAWRENCE RICHARD BLACK
FORT MYERS, FL
NPI
1114035284
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Professional Name
LAWRENCE R BLACK
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: FL 055736)
Enumeration Date
2006-08-28
Last Update Date
2016-04-25
Business Address
Dr. LAWRENCE RICHARD BLACK DO
13691 METRO PKWY 350
FORT MYERS, FL 33912-4327
Phone number: 239-768-5313
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Mailing Address
Dr. LAWRENCE RICHARD BLACK DO
2234 COLONIAL BLVD ATTN: PAYER CONTRACTING & RELATIONS
FORT MYERS, FL 33907-1412
Phone number: 239-931-7342
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