Lawrence, Theresa

Lawrence, Theresa is an individual health care provider with primary practice located at 5955 Ponce De Leon Blvd , Coral Gables FL 33146-2423. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Lawrence, Theresa can be contacted via phone (305) 661-1515.

Contact Information

Primary practice address
5955 Ponce De Leon Blvd Coral Gables FL 33146-2423
Phone: (305) 661-1515
Fax: (305) 662-3723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP 9304902 Florida

Profile Details

NPI number 1508146960
LBN Legal business name Lawrence, Theresa
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2011
Last updated Jul 19th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508146960 NPPES
Florida Other 9304902 ARNP LICENSE

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