Individual
LISA R LAWRENCE-DANEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1328
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(314) 364-4200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2000162302
MO
363LF0000X
Family Nurse Practitioner
Primary
2011034268
MO
Other
Enumeration date
10/26/2011
Last updated
11/21/2023
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