Individual
SAMANTHA LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 DRUMMOND ST, CLARKSBURG, WV 26301-2250
(304) 841-1563
Mailing address
610 DRUMMOND ST, CLARKSBURG, WV 26301-2250
(304) 841-1563
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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