Individual
SHENNELLE LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3196 MOUNT ZION RD APT 4404, STOCKBRIDGE, GA 30281-7855
(518) 210-3321
Mailing address
3196 MOUNT ZION RD APT 4404, STOCKBRIDGE, GA 30281-7855
(518) 210-3321
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN101453
GA
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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