Individual
KYARA LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 OLIVE ST APT 506, SAINT LOUIS, MO 63101-2316
(314) 601-1643
Mailing address
720 OLIVE ST APT 506, SAINT LOUIS, MO 63101-2316
(314) 601-1643
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568038339
—
MO
05
—
863251253
—
MO
Enumeration date
07/19/2021
Last updated
07/19/2021
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