| Doctor Name: | LAURA L LAWRENCE |
| NPI Number: | 1154528792 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A. |
| License Number: | PA05010 |
| Business Practice Address: | 255 Fm 518 Kemah, TX - 77565 |
| Business Phone Number: | 2815352439 |
| Business Fax Number: | 2815352823 |
| Mailing Address: | 1015 Medical Center Blvd., Suite 1700 WEBSTER |
| State: | TX |
| Postal Code: | 775984011 |
| Phone Number: | 2814806264 |
| Fax Number: | 2814804046 |
| NPI Enumeration Date: | 06/28/2007 |
| NPI Last Update Date: | 11/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA05010 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |