Individual
JUANITA K. LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4928 DELMAR BLVD, SAINT LOUIS, MO 63108-1615
(314) 899-0846
Mailing address
1601 OLD SOUTH RIVER RD, SAINT CHARLES, MO 63303-4120
(636) 224-1210
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2011041766
MO
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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