Individual
KENDRA LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1992 LEWIS TURNER BLVD, FORT WALTON BEACH, FL 32547-1255
(888) 732-3452
Mailing address
495 GRAND BLVD STE 206, MIRAMAR BEACH, FL 32550-1897
(888) 732-3452
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
11002506
FL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
11002506
FL
207R00000X
Internal Medicine Physician
11002506
FL
363L00000X
Nurse Practitioner
Primary
11002506
FL
363LA2100X
Acute Care Nurse Practitioner
AP133602
TX
363LA2200X
Adult Health Nurse Practitioner
AP133602
TX
363LG0600X
Gerontology Nurse Practitioner
AP133602
TX
Other
Enumeration date
04/04/2017
Last updated
04/03/2024
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