Individual
LORI LYNN LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
205 NM HWY 228, MESQUITE, NM 88048
(233) 392-5575
Mailing address
PO BOX 70, ANTHONY, NM 88021
(575) 882-6101
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
53010
NM
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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