Individual
AN LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
60 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 334-3074
(573) 335-8725
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2020026323
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2015
Last updated
03/01/2021
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