Individual
TARA DAWN LAWRENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 E AUGUSTA AVE, AUGUSTA, KS 67010-2100
(316) 425-0073
Mailing address
520 E AUGUSTA AVE, AUGUSTA, KS 67010-2100
(316) 775-5491
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
81884
KS
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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