Individual
CHRISTINA P LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 N DENEEN ST, STAUNTON, IL 62088-1017
(618) 635-3831
Mailing address
801 N DENEEN ST, STAUNTON, IL 62088-1017
(618) 635-3831
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.005705
IL
Other
Enumeration date
02/17/2018
Last updated
02/17/2018
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