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

MARY LISA LAWRENCE

Active Sole Proprietor

MARY LISA LAWRENCE is a Van Provider healthcare provider located in WILMINGTON, New York. NPI 1811261522 is currently active in the NPPES registry. Verify at CMS.

Van Provider · WILMINGTON, NY

Registration Details

NPI Number
1811261522
Provider Type
Individual
Gender
Female
NPI Issued
Feb 27, 2012 (14.48171287501 yrs)
Last Updated
Feb 27, 2012
License
498510286 (NY)
Sole Proprietor
Yes

Practice Information

Address
5670 NYS ROUTE 86
WILMINGTON, NY, 129972015
Browse NY providers · Browse ZIP 12997
Phone
5186372306
Primary Specialty
Van Provider
344600000X
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.