Healthcare Provider Details

I. General information

NPI: 1568304004
Provider Name (Legal Business Name): ROCHELLE LAWRENCE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 ST.CHARLES AVE. STE114 PMB2267
NEW ORLEANS LA
70170
US

IV. Provider business mailing address

201 ST.CHARLES AVE. STE114 PMB2267
NEW ORLEANS LA
70170
US

V. Phone/Fax

Practice location:
  • Phone: 504-327-8420
  • Fax:
Mailing address:
  • Phone: 504-327-8420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License NumberCLP.201227-LAB
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: