Individual
JANICE LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
110 N MAIN ST, OAKLAND, IA 51560-4181
(712) 482-6484
Mailing address
PO BOX 642117, OMAHA, NE 68164-8117
(402) 717-4377
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
881
IA
Other
Enumeration date
01/04/2007
Last updated
06/22/2010
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