Individual
DR. ROXANNE SABRINA LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1555 E COUNTY LINE RD, JACKSON, MS 39211
(601) 206-1112
Mailing address
1770 GRAND CONCOURSE APT 2F, BRONX, NY 10457-5526
(718) 901-8110
(718) 901-8121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3826-15
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01684335
—
MS
Enumeration date
04/06/2012
Last updated
07/19/2018
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