Provider Demographics
NPI:1275677825
Name:LAWRENCE, THOMAS FREDERICK (ATC)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:FREDERICK
Last Name:LAWRENCE
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
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Mailing Address - Street 1:271 CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49017-3346
Mailing Address - Country:US
Mailing Address - Phone:269-963-8973
Mailing Address - Fax:
Practice Address - Street 1:300 NORTH AVE
Practice Address - Street 2:REHABILITATION SERVICES
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49017-3307
Practice Address - Country:US
Practice Address - Phone:269-966-8125
Practice Address - Fax:269-966-8123
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2017-03-29
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer