Individual
MRS. MARLO RUTH LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9329 KATY FWY, HOUSTON, TX 77024-1512
(786) 853-9037
Mailing address
12934 WESTELLA DR, HOUSTON, TX 77077-3704
(786) 853-9037
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 9104696
FL
363AM0700X
Medical Physician Assistant
PA09022
TX
Other
Enumeration date
03/10/2009
Last updated
09/10/2014
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