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Individual

MRS. ZELLATESIA SHION LAWRENCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12427 ROBBIE AVE, BATON ROUGE, LA 70815-2693
(225) 221-8505
Mailing address
12427 ROBBIE AVE., BATON ROUGE, LA 70815
(225) 221-8505

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
008352011
LA

Other

Enumeration date
05/08/2012
Last updated
05/08/2012
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