Provider Demographics
NPI:1376761411
Name:LAWRENCE, BARBARA LYNN (OPTICIAN)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:LYNN
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:27 LAWRENCE WAY
Mailing Address - Street 2:
Mailing Address - City:UPPER JAY
Mailing Address - State:NY
Mailing Address - Zip Code:12987-3502
Mailing Address - Country:US
Mailing Address - Phone:518-523-2020
Mailing Address - Fax:518-523-3691
Practice Address - Street 1:96 NASH STREET
Practice Address - Street 2:
Practice Address - City:LAKE PLACID
Practice Address - State:NY
Practice Address - Zip Code:12946
Practice Address - Country:US
Practice Address - Phone:518-523-2020
Practice Address - Fax:518-523-3691
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007942156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician