Individual
LATICIA JONNEL LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 TACOMA AVE S, TACOMA, WA 98402-1903
(253) 396-5800
Mailing address
737 FAWCETT AVE, TACOMA, WA 98402-5503
(253) 396-5800
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/22/2019
Last updated
06/20/2024
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