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Individual

MRS. MARSHA LEE LAWRENCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
525 FRONT ST, FREDERICKTOWN, PA 15333
(724) 377-0064
(724) 377-2119
Mailing address
P.O. BOX 698, 525 FRONT ST, FREDERICKTOWN, PA 15333
(724) 377-0064
(724) 377-2119

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
PA

Other

Enumeration date
12/20/2007
Last updated
12/20/2007
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