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DOMINIQUE ANN LAWRENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.-C

Contact information

Practice address
2901 MONTOPOLIS DR, AUSTIN, TX 78741-6411
(512) 978-9901
(512) 901-9765
Mailing address
2901 MONTOPOLIS DR, AUSTIN, TX 78741-6411
(512) 978-9901
(512) 901-9765

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1085
AK
363AM0700X
Medical Physician Assistant
Primary
PA10222
TX

Other

Enumeration date
10/11/2012
Last updated
11/23/2015
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