Individual
VENIESE LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
740 HIGH ST, SUITE 1004, WILLIAMSPORT, PA 17701-3102
(570) 321-3300
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP023526
PA
363LW0102X
Women's Health Nurse Practitioner
SP023526
PA
367A00000X
Advanced Practice Midwife
MW010462
PA
Other
Enumeration date
05/18/2017
Last updated
05/04/2021
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