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1710698030
LAWRENCE CIVIL
ALBANY, NY
NPI
1710698030
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-12-07
Last Update Date
2022-12-07
Business Address
LAWRENCE CIVIL
43 NEW SCOTLAND AVE
ALBANY, NY 12208-3412
Phone number: 518-262-5251
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Mailing Address
LAWRENCE CIVIL
PO BOX 240
FORT MONTGOMERY, NY 10922-0240
Phone number: 845-400-6039
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