Individual
SHONTICE LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4051 W VIKING RD, LAS VEGAS, NV 89103-6004
(323) 303-0422
Mailing address
4051 W VIKING RD, LAS VEGAS, NV 89103-6004
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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