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Individual
MELANIE D. LAWRENCE
Active
Individual
MELANIE D. LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
18727
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1118719
WELLCARE
SC
01
—
30177576
SELECT HEALTH
SC
01
—
4895462
AETNA
SC
01
—
80023032
SELECT HEALTH
SC
05
—
NP2742
—
SC
01
—
P01329637
RR MEDICARE
SC
Enumeration date
03/10/2014
Last updated
02/08/2016
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