Individual
STACEY LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
419 GARFIELD ST, PORT HURON, MI 48060-2930
(810) 937-6675
Mailing address
419 GARFIELD ST, PORT HURON, MI 48060-2930
(810) 937-6675
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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