Provider Demographics
NPI:1316210677
Name:LAWRENCE, DEBRA (CD(DONA))
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3195 NORWOOD CT
Mailing Address - Street 2:
Mailing Address - City:STREAMWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60107-2920
Mailing Address - Country:US
Mailing Address - Phone:630-202-3641
Mailing Address - Fax:801-382-1521
Practice Address - Street 1:3195 NORWOOD CT
Practice Address - Street 2:
Practice Address - City:STREAMWOOD
Practice Address - State:IL
Practice Address - Zip Code:60107-2920
Practice Address - Country:US
Practice Address - Phone:630-202-3641
Practice Address - Fax:801-382-1521
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-17
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula