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Individual
SHANNON CORNATZER LAWRENCE
Active
Individual
SHANNON CORNATZER LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, NNP
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
214064
NC
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
5004720
NC
Other
Enumeration date
01/12/2012
Last updated
05/28/2013
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