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Individual

MS. BABETTE L LAWRENCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11650 LANTERN RD STE 235, FISHERS, IN 46038-3106
(317) 576-8410
Mailing address
11650 LANTERN RD STE 235, FISHERS, IN 46038-3106
(317) 576-8410

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005219A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3100521A
INDIANA OCCUPATIONAL THERAPY LICENSE
IN
Enumeration date
01/10/2012
Last updated
01/10/2012
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