NPI 1023691748

Juanita K. Lawrence

Practitioner Licensed Practical Nurse Saint Louis, MO

Practice location

Address: 4928 Delmar Blvd, Saint Louis, MO 63108-1615
Phone: (314) 899-0846
Mailing address: 1601 Old South River Rd, Saint Charles, MO 63303-4120

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 2011041766 (MO)

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Registry record

NPI: 1023691748
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Apr 2021
Record last updated: 30 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.