Individual
SARA AMANDA BETH LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1825 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
(706) 295-5331
(706) 236-6491
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(762) 235-1000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN176980
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003132834A
—
GA
Enumeration date
03/14/2013
Last updated
04/27/2020
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