Individual
LAWRENCE JAMES KEITH MATTINGLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
201 STATE ST, ERIE, PA 16550-0002
(814) 877-6000
Mailing address
6676 W RIDGE RD, FAIRVIEW, PA 16415-2032
(252) 414-6871
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
357374
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
357374
COMPACT RN LICENSE
—
Enumeration date
04/13/2026
Last updated
04/13/2026
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