Individual
DR. GRACE ANNE LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, CGP
Contact information
Practice address
10464 GARVERDALE CT, SUITE 706, BOISE, ID 83704-5410
(208) 323-1259
(208) 323-5666
Mailing address
2555 E PLATEAU DR, BOISE, ID 83712-7562
(208) 890-6811
(208) 424-8903
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
P5050
ID
1835P1200X
Pharmacotherapy Pharmacist
P5050
ID
1835P1300X
Psychiatric Pharmacist
Primary
P5050
ID
Other
Enumeration date
10/06/2005
Last updated
09/11/2025
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