Provider Demographics
NPI:1275924961
Name:LAWRENCE, SHARON (RN, BSN)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1390 BRAMBLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33811-2941
Mailing Address - Country:US
Mailing Address - Phone:863-899-7003
Mailing Address - Fax:
Practice Address - Street 1:10069 N FLORIDA AVE
Practice Address - Street 2:SUITE B3
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-7447
Practice Address - Country:US
Practice Address - Phone:813-932-5619
Practice Address - Fax:813-932-5496
Is Sole Proprietor?:No
Enumeration Date:2015-02-17
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9324780163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse