Individual
IASIA LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 BARONNE ST STE 304, NEW ORLEANS, LA 70113-1054
(504) 814-8001
Mailing address
1300 BURBANK DR, NEW ORLEANS, LA 70122-2032
(504) 250-0262
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/31/2015
Last updated
04/18/2019
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