NPI 1154084887

John Clark Lawrence, CPED

Practitioner Pedorthist Shelbyville, KY

Practice location

Address: 77 Mack Walters Rd STE 301b, Shelbyville, KY 40065-1793
Phone: (502) 437-0134
Mailing address: 1705 Manley Leestown Rd, Frankfort, KY 40601-9494

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence 4669 (KY)

Other Pedorthist providers in Kentucky →

Registry record

NPI: 1154084887
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Oct 2021
Record last updated: 1 Nov 2024

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.