Individual
MR. JOHN CLARK LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.PED
Contact information
Practice address
77 MACK WALTERS RD STE 301B, SHELBYVILLE, KY 40065-1793
(502) 437-0134
Mailing address
1705 MANLEY LEESTOWN RD, FRANKFORT, KY 40601-9494
(502) 803-5570
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
4669
KY
Other
Enumeration date
10/19/2021
Last updated
11/01/2024
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