Individual
LATASHA LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
289 MAIN ST # L-2, EXTON, PA 19341-3701
(484) 875-9790
(610) 884-4208
Mailing address
536 SW 24TH AVE, FORT LAUDERDALE, FL 33312-2254
(954) 647-5475
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007925
NY
152W00000X
Optometrist
27OA00640600
NJ
152W00000X
Optometrist
Primary
OEG004328
PA
Other
Enumeration date
07/23/2012
Last updated
02/19/2026
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