Individual
SHANNON CORNATZER LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, NNP
Contact information
Practice address
5524 HOSPITAL N, BOX 100500 MEDICAL CENTER, DURHAM, NC 27710-0001
(919) 970-9004
(919) 681-6065
Mailing address
2424 ERWIN RD, SUITE 504, NEONATOLOGY, DURHAM, NC 27705-3824
(919) 970-9004
(919) 681-6065
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
214064
NC
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
5004720
NC
Other
Enumeration date
01/12/2012
Last updated
05/28/2013
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