Individual
JENNA ASHLEY LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 HAWTHORNE LOOP, DRIFTWOOD, TX 78619-4351
(503) 961-2275
Mailing address
1651 HAWTHORNE LOOP, DRIFTWOOD, TX 78619-4351
(503) 961-2275
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA220894
OR
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
08/01/2024
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