Individual
ERICA PERNELL-LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 HURON AVE, DAYTON, OH 45402-5324
(937) 546-9280
Mailing address
800 HURON AVE, DAYTON, OH 45402-5324
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
166634
OH
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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