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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOLE TERESA LAWRENCE, M.D

Active Sole Proprietor

NICOLE TERESA LAWRENCE, M.D is a Pediatric Gastroenterology healthcare provider located in SANTA ROSA BEACH, Florida. NPI 1326203589 is currently active in the NPPES registry. Verify at CMS.

Pediatric Gastroenterology · SANTA ROSA BEACH, FL

Registration Details

NPI Number
1326203589
Provider Type
Individual
Gender
Female
NPI Issued
Jul 26, 2008 (18.084636392024 yrs)
Last Updated
Mar 17, 2018
License
ME111073 (FL)
Sole Proprietor
Yes

Practice Information

Address
23 MACK BAYOU LOOP STE 100
SANTA ROSA BEACH, FL, 324592606
Browse FL providers · Browse ZIP 32459
Phone
8504161575
Primary Specialty
Pediatric Gastroenterology
2080P0206X
Additional Specialty
Pediatric Gastroenterology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.