Individual
NICOLE LAWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7443 W US HIGHWAY 90, LAKE CITY, FL 32055-8071
(352) 373-4411
Mailing address
1408 NW 6TH ST, GAINESVILLE, FL 32601-4020
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/21/2024
Last updated
11/18/2024
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