Individual
MRS. MARILYN LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7950 MARTIN LOOP, BUILDING 9200, FORT BENNING, GA 31905-5647
(706) 544-2041
Mailing address
4157 WINDTREE LN, COLUMBUS, GA 31907-1817
(706) 568-6043
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
PT001612
GA
Other
Enumeration date
07/17/2006
Last updated
07/09/2007
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