Individual
MRS. ASHLEY NICOLE LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 233-7750
Mailing address
727 W 5TH ST, SAINT JACOB, IL 62281-1572
(618) 920-1113
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209013856
IL
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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