Individual
ELNORA LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,BSN,CWS
Contact information
Practice address
1617 LARK DR, GAUTIER, MS 39553-3131
(228) 369-4016
Mailing address
PO BOX 1153, GAUTIER, MS 39553-0039
(228) 369-4016
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R853946
MS
163WW0000X
Wound Care Registered Nurse
R853946
MS
Other
Enumeration date
05/09/2014
Last updated
05/09/2014
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