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NPI Code Detail

MEDICARE: SHANNON J. LAWRENCE

MEDICARE: SHANNON J. LAWRENCE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1144392309
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON J. LAWRENCE
Provider Business Mailing Address
First Line : 400 LINWOOD AVE
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71913-3749
Country : US
Telephone Number : 501-623-7421
Fax Number : 501-620-7847
Provider Business Practice Location Address
First Line : 400 LINWOOD AVE
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71913-3749
Country : US
Telephone Number : 501-623-7421
Fax Number : 501-620-7847
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2006
Last Update Date : 07/08/2007

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Directions to “ SHANNON J. LAWRENCE ” Practice Location

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