Individual
SARA M. LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 289-6434
Mailing address
9565 CROCKETT DR, OLIVETTE, MO 63132-2145
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2000145763
MO
Other
Enumeration date
05/08/2006
Last updated
04/03/2024
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