Provider Demographics
NPI:1033569652
Name:LAWRENCE, BARBARA (PA-S2, ATC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:PA-S2, ATC
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Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 432
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:SD
Mailing Address - Zip Code:57201-0432
Mailing Address - Country:US
Mailing Address - Phone:417-840-1665
Mailing Address - Fax:
Practice Address - Street 1:1075 E BETTERAVIA RD STE 201
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-7023
Practice Address - Country:US
Practice Address - Phone:417-840-1665
Practice Address - Fax:386-738-6677
Is Sole Proprietor?:No
Enumeration Date:2016-06-14
Last Update Date:2023-08-18
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer