Provider Demographics
NPI:1346637915
Name:LAWRENCE, LINDSAY ANN (DPT, ATC)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ANN
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:DPT, ATC
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:ANN
Other - Last Name:NORTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT, ATC
Mailing Address - Street 1:8823 PRODUCTION LN
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-6511
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:423-238-3473
Practice Address - Street 1:540 E YOUNG AVE
Practice Address - Street 2:STE E
Practice Address - City:WARRENSBURG
Practice Address - State:MO
Practice Address - Zip Code:64093-1231
Practice Address - Country:US
Practice Address - Phone:660-262-4795
Practice Address - Fax:660-747-0347
Is Sole Proprietor?:No
Enumeration Date:2015-04-22
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-05118225100000X
MO20120208872255A2300X
MO2015020105225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer