Individual
PROF. CARMELLA L LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9700 MACKENZIE RD STE 225B, AFFTON, MO 63123-5560
(636) 898-6994
Mailing address
9700 MACKENZIE RD STE 225B, AFFTON, MO 63123-5560
(636) 898-6994
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
142490
MO
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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