Individual
SANDRA P LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
325E KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-4531
(207) 873-5665
(207) 873-5545
Mailing address
325E KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-4531
(207) 873-5665
(207) 873-5545
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R019881
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040649
ANTHEM
ME
05
—
270700099
—
ME
01
—
P00441784
RAILROAD MEDICARE
ME
01
—
P55782
HARVARD PILGRIM HEALTHCAR
ME
Enumeration date
09/29/2005
Last updated
05/09/2008
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