Provider Demographics
NPI:1205101318
Name:LAWRENCE A DUNN, MD, PLLC
Entity type:Organization
Organization Name:LAWRENCE A DUNN, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-812-2560
Mailing Address - Street 1:3001 ACADEMY RD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-2660
Mailing Address - Country:US
Mailing Address - Phone:919-812-2560
Mailing Address - Fax:866-267-4435
Practice Address - Street 1:3001 ACADEMY RD
Practice Address - Street 2:SUITE 240
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-2660
Practice Address - Country:US
Practice Address - Phone:919-812-2560
Practice Address - Fax:866-267-4435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-22
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC300182084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty