MEDICARE: KRISTA 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	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1780175083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTA LAWRENCE

Provider Business Mailing Address
First Line	:	53 CHRISTOPHER DR
Second Line	:
City	:	WESTFIELD
State	:	MA
Zip	:	01085-1851
Country	:	US
Telephone Number	:	413-693-9290
Fax Number	:

Provider Business Practice Location Address
First Line	:	82 ARDMORE ST
Second Line	:
City	:	SPRINGFIELD
State	:	MA
Zip	:	01104-2233
Country	:	US
Telephone Number	:	413-693-9290
Fax Number	:

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

Provider Enumeration Date	:	05/22/2018
Last Update Date	:	07/26/2023

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Directions to “ KRISTA LAWRENCE ” Practice Location

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