Individual
DEBRA CRIDER LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
85 BEACH STREET, BLDG C, WESTERLY, RI 02891
(401) 596-0823
(401) 596-2960
Mailing address
85 BEACH STREET, BLDG C, WESTERLY, RI 02891
(401) 596-0823
(401) 596-2960
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
000453
CT
213E00000X
Podiatrist
Primary
DPM00233
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030000233RID1
ANTHEM
RI
01
—
030880
HEATH NET
CT
01
—
030880
HEALTH NET
RI
Enumeration date
07/11/2006
Last updated
10/21/2010
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