LA TANYA LAWRENCE

SAINT LOUIS, MO
NPI1104121102
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  2019005430)
Enumeration Date2011-01-21
Last Update Date2023-03-28
Business Address
LA TANYA LAWRENCE AS
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112-4265
Phone number: 314-367-5820
Mailing Address
LA TANYA LAWRENCE AS
4433 WOODSON RD STE 220
SAINT LOUIS, MO 63134-3713
Phone number: 314-265-7131