Individual
ANGELA LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1864 SCENIC HWY N STE 100, SNELLVILLE, GA 30078-2559
(678) 395-4995
Mailing address
4360 TELIDA TRL, SNELLVILLE, GA 30039-2734
(470) 955-8538
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT012262
GA
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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