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NPI Code Detail

MEDICARE: DR. ROBYN LYNN LAWRENCE D.C.

MEDICARE: DR. ROBYN LYNN LAWRENCE D.C.
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
1111N00000XChiropractor006555MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1156150OTHERMOBCBS NO.

General Provider Information

NPI Number : 1891746509
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBYN LYNN LAWRENCE D.C.
Provider Business Mailing Address
First Line : 111 CHURCH ST
Second Line : SUITE 111
City : FERGUSON
State : MO
Zip : 63135-2441
Country : US
Telephone Number : 314-524-2580
Fax Number : 314-524-2596
Provider Business Practice Location Address
First Line : 111 CHURCH ST
Second Line : SUITE 111
City : FERGUSON
State : MO
Zip : 63135-2441
Country : US
Telephone Number : 314-524-2580
Fax Number : 314-524-2596
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 07/17/2013

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