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1114180874 NPI number — TONYA NICOLE LAWRENCE M,D.

NPI Number: 1114180874
Health Care Provider/Practitioner: TONYA NICOLE LAWRENCE M,D.

Information about “1114180874” NPI (TONYA NICOLE LAWRENCE M,D.) exists in 1114180874 in HTML format HTML  |  1114180874 in plain Text format TXT  |  1114180874 in PDF (Portable Document Format) PDF  |  1114180874 in an XML format XML  formats.

NPI Number : 1114180874 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114180874",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LAWRENCE",
    "FirstName": "TONYA",
    "MiddleName": "NICOLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M,D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7219 CHESTNUT AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ELKINS PARK",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19027-3215",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "215-690-4095",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4641 ROOSEVELT BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PHILADELPHIA",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19124-2343",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "215-762-7000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/02/2008",
    "LastUpdateDate": "07/02/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2084P0800X",
        "TaxonomyName": "Psychiatry Physician",
        "LicenseNumber": "MT191731",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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