Individual
DR. JENNIFER D LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9631 269TH ST NW, STANWOOD, WA 98292-8071
(360) 629-1600
(360) 629-1644
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61075786
WA
207Q00000X
Family Medicine Physician
ML60969726
WA
207Q00000X
Family Medicine Physician
MT209044
PA
Other
Enumeration date
05/26/2015
Last updated
08/05/2021
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