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Individual

ERICA LANE LAWRENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
14802 SHAMROCK WAY STE C, SMITHVILLE, MO 64089-8381
(816) 873-1101
(816) 399-5796
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-4915
(423) 238-7217
(423) 238-3473

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2019019904
MO

Other

Enumeration date
05/14/2019
Last updated
06/03/2022
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