MEDICARE: LISA JANE LAWRENCE M.S.CCC/SLP

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	235Z00000X	Speech-Language Pathologist	SA11325	FL

General Provider Information

NPI Number	:	1700150752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA JANE LAWRENCE M.S.CCC/SLP

Provider Business Mailing Address
First Line	:	4127 PONZA PL
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33462-3436
Country	:	US
Telephone Number	:	561-374-2543
Fax Number	:

Provider Business Practice Location Address
First Line	:	4127 PONZA PL
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33462-3436
Country	:	US
Telephone Number	:	561-374-2543
Fax Number	:

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

Provider Enumeration Date	:	03/07/2012
Last Update Date	:	03/07/2012

Similar Medicare Providers

1669129318 — MAIDEE DIAZ MACHADO
Practice Location Address:

4609 PRUDEN BLVD
LAKE WORTH, FL
33463-3436

Practice Phone: 561-386-0607
Practice Fax:

1629054382 — ASHOK V KONDRU M.D.
Practice Location Address:

2112 LAKE AVE
ASHTABULA, OH
44004-3436

Practice Phone: 440-998-0322
Practice Fax: 440-998-4525

1568478873 — RITE AID OF OHIO INC
Practice Location Address:

2148 LAKE AVE
ASHTABULA, OH
44004-3436

Practice Phone: 440-993-0906
Practice Fax:

1316087083 — ALISA PLASTO B.A
Practice Location Address:

4151 DOUGLAS WAY
LAKE OSWEGO, OR
97035-3436

Practice Phone: 503-699-2944
Practice Fax:

1053448738 — BRADLEY MICHAEL BEST RPH
Practice Location Address:

2148 LAKE AVE
ASHTABULA, OH
44004-3436

Practice Phone: 440-993-0906
Practice Fax:

1114114790 — ASHOK V. KONDRU, MD INC
Practice Location Address:

2112 LAKE AVE
ASHTABULA, OH
44004-3436

Practice Phone: 440-998-0322
Practice Fax: 440-998-4525

Directions to “ LISA JANE LAWRENCE M.S.CCC/SLP” 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.