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Individual

SANDRA M LAWRENCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
15901 BASS RD STE 102, FORT MYERS, FL 33908-3838
(239) 343-9890
(239) 343-4080
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9890
(239) 343-4080

Taxonomy

Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
Primary
ME61088
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
255036900
FL
Enumeration date
10/06/2005
Last updated
04/10/2026
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