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Individual

SCOTT E LAWRANCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS PT

Contact information

Practice address
1400 E HANNA AVE, INDIANAPOLIS, IN 46227-3630
(317) 788-3248
Mailing address
1400 E HANNA AVE, INDIANAPOLIS, IN 46227-3630
(317) 788-3248

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05008318A
IN
2255A2300X
Athletic Trainer
Primary
36000633A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DB9030
RAILROAD MEDICARE GROUP NUMBER
GA
01
P00479057
RAILROAD MEDICARE PTAN
GA
Enumeration date
07/01/2005
Last updated
09/18/2014
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