Individual
JEANNIE COLLINS LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
210 S CENTRE ST, POTTSVILLE, PA 17901-3501
(570) 628-5234
Mailing address
807 WEST AVE, AUSTIN, TX 78701-2207
(512) 956-5080
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD463170
PA
Other
Enumeration date
06/17/2010
Last updated
01/30/2018
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