Individual
JEANETTE B LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
43475 DALCOMA DR STE 100, CLINTON TWP, MI 48038-3593
(586) 263-5043
Mailing address
78675 HARVEST LN, BRUCE TWP, MI 48065-1819
(248) 930-1212
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
110628
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
4704192637
MI
Other
Enumeration date
07/21/2006
Last updated
02/28/2025
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