Individual
SUSAN DONNA LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
141 COLUMBUS RD, ATHENS, OH 45701-1315
(740) 592-4229
(740) 592-4232
Mailing address
7255 EDGEWOOD LN, ATHENS, OH 45701-8762
(740) 541-1543
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34005458L
OH
208000000X
Pediatrics Physician
Primary
34005458L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0919153
—
OH
01
—
311155352
BUREAU OF MENTALLY HANDIC
—
Enumeration date
08/29/2005
Last updated
03/21/2026
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