Individual
KIMONA LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4200 CONROY ROAD, ORLANDO, FL 32839
(407) 903-1018
Mailing address
4200 CONROY ROAD, ORLANDO, FL 32839
(407) 903-1018
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 5115
FL
Other
Enumeration date
07/29/2015
Last updated
01/11/2017
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