Individual
DR. ELISE A LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3306 N UNIVERSITY DR, SUNRISE, FL 33351-6720
(954) 908-5288
(954) 908-5449
Mailing address
3306 N UNIVERSITY DR, SUNRISE, FL 33351-6720
(954) 908-5288
(954) 908-5449
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4190
FL
152W00000X
Optometrist
TUV006980
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NY6980
EYEMED
FL
Enumeration date
12/01/2006
Last updated
03/29/2016
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