Individual
DONNA LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7540 N 19TH AVE, 200, PHOENIX, AZ 85021-7967
(623) 556-6445
Mailing address
7540 N 19TH AVE, 200, PHOENIX, AZ 85021
(623) 556-6445
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5750
MA
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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