Individual
MRS. MARY JO LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10696 CRESTWOOD DR STE B, MANASSAS, VA 20109-4411
(703) 368-7110
Mailing address
4601 WESTON ROAD RTE 747, CASANOVA, VA 20139
(540) 788-4224
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
0024134318
VA
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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