LAWRENCE LEA COCKROFT GILLILAND

SPRINGFIELD, MO
NPI1912109018
Professional NameLAWRENCE L GILLILAND
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: GA  72242)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: VA  0101247434)
2085R0202X Radiology, Diagnostic Radiology
(Licence: MO  2011017818)
2085U0001X Radiology, Diagnostic Ultrasound
(Licence: TN  390200000X)
Enumeration Date2007-06-01
Last Update Date2023-03-06
Business Address
LAWRENCE LEA COCKROFT GILLILAND M.D.
3850 S NATIONAL AVE SUITE 300
SPRINGFIELD, MO 65807-5287
Phone number: 417-269-6170
Mailing Address
LAWRENCE LEA COCKROFT GILLILAND M.D.
PO BOX 3262
SPRINGFIELD, MO 65808-3262
Phone number: 417-885-3888