Individual
KATHRYN M LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3200 NORTHLINE AVE STE 250, GREENSBORO, NC 27408-7619
(336) 938-0800
Mailing address
PO BOX 405633, ATLANTA, GA 30384-5633
(888) 563-3282
(605) 677-3301
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5003625
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275565152
—
NC
01
—
2593146
MEDICARE
NC
Enumeration date
07/07/2006
Last updated
08/25/2021
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