Individual
BRENDA MARY LAWRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNS
Contact information
Practice address
5224 E I 240 SERVICE RD STE 201, OKLAHOMA CITY, OK 73135-2607
(405) 608-3800
Mailing address
7800 NW 85TH TER, OKLAHOMA CITY, OK 73132-3385
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
207874
OK
363LA2200X
Adult Health Nurse Practitioner
R138206
MD
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
207874
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1494244
—
MD
Enumeration date
01/29/2019
Last updated
07/15/2022
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