Individual
MARY LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-4334
(516) 462-4332
Mailing address
150 9TH ST, BETHPAGE, NY 11714-2405
(516) 938-9444
(516) 681-1820
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304200-1
NY
Other
Enumeration date
10/29/2006
Last updated
07/08/2007
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