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NPI Code Detail

MEDICARE: MS. CAROLINE P. LAWRENCE PA-C

MEDICARE: MS. CAROLINE P. LAWRENCE PA-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
1363AM0700XMedical Physician AssistantPAX2663FL

General Provider Information

NPI Number : 1932241353
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAROLINE P. LAWRENCE PA-C
Provider Business Mailing Address
First Line : PO BOX 1167
Second Line :
City : PAXTON
State : FL
Zip : 32538-1167
Country : US
Telephone Number : 850-892-2888
Fax Number :
Provider Business Practice Location Address
First Line : 21 W MAIN AVE
Second Line :
City : DEFUNIAK SPRINGS
State : FL
Zip : 32435-2529
Country : US
Telephone Number : 850-892-2888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2007
Last Update Date : 07/08/2007

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Directions to “ MS. CAROLINE P. LAWRENCE PA-C” Practice Location

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