Individual
CAROL ANN LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6124 1ST AVE S, MINNEAPOLIS, MN 55419-2552
(612) 859-9162
Mailing address
6124 1ST AVE S, MINNEAPOLIS, MN 55419-2552
(612) 859-9162
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100106
MN
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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