MEDICARE: LINDSAY NICOLE LAWRENCE FNP

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
1	363LF0000X	Family Nurse Practitioner	95005104	CA

General Provider Information

NPI Number	:	1184169906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY NICOLE LAWRENCE FNP

Provider Business Mailing Address
First Line	:	133 W F ST
Second Line	:
City	:	BENICIA
State	:	CA
Zip	:	94510-3154
Country	:	US
Telephone Number	:	512-773-4287
Fax Number	:

Provider Business Practice Location Address
First Line	:	650 SAN RAMON VALLEY BLVD
Second Line	:
City	:	DANVILLE
State	:	CA
Zip	:	94526-4022
Country	:	US
Telephone Number	:	866-389-2727
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2017
Last Update Date	:	01/03/2017

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