Individual
MELANIE D. LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
394 SINGLETON RIDGE RD, CONWAY, SC 29526-9150
(843) 347-8765
(843) 347-3499
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
18727
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1118719
WELLCARE
SC
01
—
30177576
SELECT HEALTH
SC
01
—
4895462
AETNA
SC
01
—
80023032
SELECT HEALTH
SC
05
—
NP2742
—
SC
01
—
P01329637
RR MEDICARE
SC
Enumeration date
03/10/2014
Last updated
02/08/2016
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