Individual
MS. CAROLINE P. LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
21 W MAIN AVE, DEFUNIAK SPRINGS, FL 32435-2529
(850) 892-2888
Mailing address
PO BOX 1167, PAXTON, FL 32538-1167
(850) 892-2888
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PAX2663
FL
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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