Individual
MR. MATTHEW THOMAS LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, PTA
Contact information
Practice address
207 BLOOMING GROVE RD, HANOVER, PA 17331-7917
(717) 632-3431
Mailing address
13 GLENDALE ST, HANOVER, PA 17331-2815
(717) 637-6727
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT001777A
PA
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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