Individual
MRS. KELLY S LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CRNP, PMHNP-BC
Contact information
Practice address
1258 PURDYTOWN TPKE, LAKEVILLE, PA 18438-6793
(570) 647-9277
(570) 227-0084
Mailing address
1258 PURDYTOWN TPKE, LAKEVILLE, PA 18438-6793
(570) 647-9277
(570) 227-0084
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC003700
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP027731
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101208731
—
PA
Enumeration date
06/12/2008
Last updated
09/13/2023
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