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Individual

MARSHA B LAWRENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T., CHT

Contact information

Practice address
18540 METCALF AVE, STILWELL, KS 66085-9450
(913) 209-9558
(913) 402-1906
Mailing address
18540 METCALF AVE, STILWELL, KS 66085-9450
(913) 209-9558
(913) 402-1906

Taxonomy

Speciality
Code
Description
License number
State
2251H1200X
Hand Physical Therapist
Primary
1103103
KS
2251H1200X
Hand Physical Therapist
2002017398
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33424033
BLUE SHIELD OF KANSAS CIT
MO
Enumeration date
06/21/2006
Last updated
06/20/2013
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