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Individual
MRS. LARA LAINE LAWRENCE
Active
Individual
MRS. LARA LAINE LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MNSC, APRN, CPNP
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AP139775
TX
363LP0200X
Pediatric Nurse Practitioner
A03056 ANP
AR
363LP2300X
Primary Care Nurse Practitioner
A003056
AR
Other
Enumeration date
09/19/2012
Last updated
02/03/2023
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