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Individual

MS. AIDA G LAWRENCE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
615 W NURSERY ST, BUTLER, MO 64730-1840
(660) 200-7000
(660) 200-7015
Mailing address
615 W NURSERY ST, BUTLER, MO 64730-1840
(660) 200-7000
(660) 200-7015

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1999140166
MO

Other

Enumeration date
05/18/2006
Last updated
07/08/2007
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