Basic Information
| Provider Information | |||||||||
| NPI: | 1104859305 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ESKEW | ||||||||
| FirstName: | LAWRENCE | ||||||||
| MiddleName: | A. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 624 QUAKER LN | ||||||||
| Address2: | STE. 207C | ||||||||
| City: | HIGH POINT | ||||||||
| State: | NC | ||||||||
| PostalCode: | 272623832 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3368832500 | ||||||||
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| Practice Location | |||||||||
| Address1: | 335 N CASWELL RD | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282042403 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7043847980 | ||||||||
| FaxNumber: | 7043847985 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/09/2006 | ||||||||
| LastUpdateDate: | 10/28/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/28/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208800000X | 94-01183 | NC | Y | Allopathic & Osteopathic Physicians | Urology |
ID Information
| ID | Type | State | Issuer | Description | CC4241 | 01 | NC | RR MEDICARE GROUP # | OTHER | 340017061 | 01 | NC | RRMC INDIVIDUAL # | OTHER | 1237R | 01 | NC | BCBS | OTHER | 891237R | 05 | NC | MEDICAID |