RANDALL WAYNE LAWRENCE

BENTON, IL
NPI1568414803
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070015007)
Enumeration Date2006-05-16
Last Update Date2007-07-08
Business Address
Mr. RANDALL WAYNE LAWRENCE PT
1104 W MAIN ST
BENTON, IL 62812-1565
Phone number: 618-439-3399
Mailing Address
Mr. RANDALL WAYNE LAWRENCE PT
1810 E CLEVELAND ST
WEST FRANKFORT, IL 62896-3415
Phone number: 618-932-2482
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