Individual
STEPHANIE CLAIRE LAWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRDH
Contact information
Practice address
2104 MASSEY AVE, ROOM 2065, MAYPORT NAVAL STA, FL 32228
(904) 270-4460
Mailing address
12641 MISTY MOUNTAIN DR E, JACKSONVILLE, FL 32225-3485
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH18181
FL
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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