MEDICARE: JACQUELYN 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
1	224Z00000X	Occupational Therapy Assistant	000486	GA

General Provider Information

NPI Number	:	1558786319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACQUELYN LAWRENCE

Provider Business Mailing Address
First Line	:	1113 OAK HOLLOW CT
Second Line	:
City	:	HAMPTON
State	:	GA
Zip	:	30228-5571
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1113 OAK HOLLOW CT
Second Line	:
City	:	HAMPTON
State	:	GA
Zip	:	30228-5571
Country	:	US
Telephone Number	:	770-873-9930
Fax Number	:

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

Provider Enumeration Date	:	03/03/2014
Last Update Date	:	03/03/2014

Similar Medicare Providers

1841767035 — JASMINE MACHERYL WEBB
Practice Location Address:

1146 OAK HOLLOW CT
HAMPTON, GA
30228-5571

Practice Phone: 501-672-0456
Practice Fax:

1811558901 — MRS. ELAINA MIRANDA AVERETT FNP-BC
Practice Location Address:

580 HAMPTON FARMS TRL
JASPER, GA
30143-5571

Practice Phone: 770-894-7820
Practice Fax:

1588522643 — BEATRICE ELOY NP
Practice Location Address:

318 M J MCCARTHY WAY
HAMPTON, GA
30228-2587

Practice Phone: 678-360-5512
Practice Fax:

1871452979 — LOVEISHA TUCKER
Practice Location Address:

670 LAKE COVE DR
HAMPTON, GA
30228-1874

Practice Phone: 706-438-8133
Practice Fax:

1306705405 — VEE WITH CARE LLC
Practice Location Address:

670 LAKE COVE DR
HAMPTON, GA
30228-1874

Practice Phone: 404-638-4461
Practice Fax:

1518826502 — SAFIYA DE LANDRO
Practice Location Address:

1205 SAND CASTLE CT
HAMPTON, GA
30228-6055

Practice Phone: 470-716-2021
Practice Fax:

Directions to “ JACQUELYN LAWRENCE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.