Individual
MRS. DIANE LAWRANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, CSCS
Contact information
Practice address
4520 HAWLEY BLVD APT 3, SAN DIEGO, CA 92116-3453
(858) 722-3748
Mailing address
4520 HAWLEY BLVD APT 3, SAN DIEGO, CA 92116-3453
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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