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Individual

MARCINE LAWRENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
22 NORTHEAST DR, HERSHEY, PA 17033-2732
(717) 531-8338
Mailing address
PO BOX 1855, HARRISBURG, PA 17105-1855

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN087189L
PA

Other

Enumeration date
03/24/2010
Last updated
03/24/2010
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