Provider Demographics
NPI:1073066254
Name:LAWRENCE, CHELSEA (NP)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2300 MANCHESTER EXPY
Mailing Address - Street 2:SUITE 2001, BUTLER PAVILION
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-6802
Mailing Address - Country:US
Mailing Address - Phone:706-323-5552
Mailing Address - Fax:706-324-5695
Practice Address - Street 1:2300 MANCHESTER EXPY
Practice Address - Street 2:SUITE 2001, BUTLER PAVILION
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-6802
Practice Address - Country:US
Practice Address - Phone:706-323-5552
Practice Address - Fax:706-324-5695
Is Sole Proprietor?:No
Enumeration Date:2016-07-25
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN216164363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily