Individual
TACARRO LAWRENCE,
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PBT
Contact information
Practice address
421 WHITEHALL ST, VIENNA, GA 31092-1471
(770) 966-3662
Mailing address
421 WHITEHALL STREET, VIENNA, GA 31092-1471
(770) 966-3662
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
04/27/2024
Last updated
04/27/2024
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