Healthcare Provider Details

I. General information

NPI: 1851786750
Provider Name (Legal Business Name): ANNE LAWRIE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2015
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 RANDOLPH RD STE 109
CHARLOTTE NC
28211-1086
US

IV. Provider business mailing address

5020 MACANDREW DR
CHARLOTTE NC
28226-3232
US

V. Phone/Fax

Practice location:
  • Phone: 443-564-7275
  • Fax:
Mailing address:
  • Phone: 740-941-6214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number9943
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: