Individual
MR. NICHOLAS FREDRICK LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 GRAND AVE, STE E, MANCOS, CO 81328-9245
(970) 459-1179
Mailing address
515 GRAND AVE, STE E, MANCOS, CO 81328-9245
(970) 459-1179
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6059
AZ
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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