Individual
LA TANYA LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AS
Contact information
Practice address
175 N OAKS PLZ, SAINT LOUIS, MO 63121-2925
(314) 391-9777
(314) 390-5404
Mailing address
175 N OAKS PLZ, SAINT LOUIS, MO 63121-2925
(314) 391-9777
(314) 390-5404
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019005430
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9011663
UNITED HEALTH PLUS INSURANCE
MO
Enumeration date
01/21/2011
Last updated
04/09/2025
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