Individual
JANET MARILYN LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2895 S MOORLAND RD, NEW BERLIN, WI 53151-3743
(262) 782-9015
Mailing address
2028 N 85TH ST, WAUWATOSA, WI 53226-2846
(414) 476-1498
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
1892-024
WI
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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