Individual
BREANNA LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
3050 HALSTEAD BLVD, ELIZABETH CITY, NC 27909
(252) 690-4000
Mailing address
1252 4 FORKS RD, ELIZABETH CITY, NC 27909-7252
(757) 525-0158
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
187178
NC
Other
Enumeration date
09/17/2025
Last updated
10/24/2025
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