Individual
MS. KRIZIA LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3691 STATE ROAD 580 W STE C, OLDSMAR, FL 34677-5635
(727) 278-2220
Mailing address
3691 STATE ROAD 580 W STE C, OLDSMAR, FL 34677-5635
(727) 278-2220
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018352800
—
FL
Enumeration date
10/18/2016
Last updated
10/18/2016
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