Individual
ANNELLA LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8421 CHAPIN PARKWAY, JAMAICA, NY 11432
(718) 820-3127
Mailing address
8421 CHAPIN PARKWAY, JAMAICA, NY 11432
(718) 820-3127
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
3257231
NY
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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