LARA LAINE LAWRENCE

FORT WORTH, TX
NPI1073863882
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  AP139775)
Additional Taxonomies363LP0200X Nurse Practitioner Pediatrics
(Licence: AR  A03056 ANP)
363LP2300X Nurse Practitioner Primary Care
(Licence: AR  A003056)
Enumeration Date2012-09-19
Last Update Date2023-02-03
Business Address
MRS. LARA LAINE LAWRENCE RN, MNSC, APRN, CPNP
9840 N BEACH ST
FORT WORTH, TX 76244-6184
Phone number: 817-431-3898
Mailing Address
MRS. LARA LAINE LAWRENCE RN, MNSC, APRN, CPNP
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-6483