Individual
JAMES HARLEN LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
817 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-6383
(573) 519-4500
Mailing address
817 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-6383
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363A00000X
Physician Assistant
Primary
2021005613
MO
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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