Doctor Name: | MRS. MARSHA LEE LAWRENCE |
NPI Number: | 1881878361 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 525 Front St Fredericktown, PA - 15333 |
Business Phone Number: | 7243770064 |
Business Fax Number: | 7243772119 |
Mailing Address: | P.o. Box 698, 525 Front St FREDERICKTOWN |
State: | PA |
Postal Code: | 15333 |
Phone Number: | 7243770064 |
Fax Number: | 7243772119 |
NPI Enumeration Date: | 12/20/2007 |
NPI Last Update Date: | 12/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |