Individual
MS. SAMANTHA MARY LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2137 16TH ST N, ST PETERSBURG, FL 33704-3923
(727) 526-9135
Mailing address
2115 CENTRAL AVE, ST PETERSBURG, FL 33713-8815
(727) 526-9135
(727) 526-4346
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9296311
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012354100
—
FL
Enumeration date
07/03/2014
Last updated
11/17/2016
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