Individual
ANDREW LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT, ATC
Contact information
Practice address
611 E PORTER ST, ALBION, MI 49224-1831
(517) 629-0522
Mailing address
115 HART ST, MARSHALL, MI 49068-1823
(269) 420-9669
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
L535716
MI
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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