MEDICARE: GRETCHEN A. LAWRENCE DPM

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	213ES0131X	Foot Surgery Podiatrist	547	NC
2	213EP1101X	Primary Podiatric Medicine Podiatrist	547	NC
3	213E00000X	Podiatrist	547	NC
4	213ES0103X	Foot & Ankle Surgery Podiatrist	547	NC

General Provider Information

NPI Number	:	1386797090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRETCHEN A. LAWRENCE DPM

Provider Business Mailing Address
First Line	:	1322 W MAIN ST
Second Line	:
City	:	FOREST CITY
State	:	NC
Zip	:	28043-2555
Country	:	US
Telephone Number	:	828-245-1111
Fax Number	:	828-516-9376

Provider Business Practice Location Address
First Line	:	1322 W MAIN ST
Second Line	:
City	:	FOREST CITY
State	:	NC
Zip	:	28043-2555
Country	:	US
Telephone Number	:	828-245-1111
Fax Number	:	828-516-9376

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

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	09/03/2025

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