Individual
MRS. ANN MAURY LAWRENCE-STEPHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1423 RIVERVIEW RUN LN, SUWANEE, GA 30024-3890
(678) 777-8104
Mailing address
1423 RIVERVIEW RUN LN, SUWANEE, GA 30024-3890
(678) 777-8104
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MT004012
GA
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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