Provider Demographics
NPI:1689016784
Name:LAWRENCE, PATRICK DAVID (DDS)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:DAVID
Last Name:LAWRENCE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5204 PATTERSON AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-1500
Mailing Address - Country:US
Mailing Address - Phone:804-282-3838
Mailing Address - Fax:804-282-3874
Practice Address - Street 1:5204 PATTERSON AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1500
Practice Address - Country:US
Practice Address - Phone:804-282-3838
Practice Address - Fax:804-282-3874
Is Sole Proprietor?:No
Enumeration Date:2013-07-18
Last Update Date:2014-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014140851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice