Provider Demographics
NPI:1306854278
Name:LAWRENCE, SHARON HELENE (DMD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:HELENE
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 M SWINTON AVE
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FM
Mailing Address - Zip Code:33444-3953
Mailing Address - Country:US
Mailing Address - Phone:561-272-1686
Mailing Address - Fax:561-279-9700
Practice Address - Street 1:403 M SWINTON AVE
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33444-3953
Practice Address - Country:US
Practice Address - Phone:561-272-1686
Practice Address - Fax:561-279-9700
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN12012122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist