Provider Demographics
NPI:1376919647
Name:LAWRENCE, LYNDSEY MARIE (AUD)
Entity Type:Individual
Prefix:MRS
First Name:LYNDSEY
Middle Name:MARIE
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:LYNDSEY
Other - Middle Name:MARIE
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:515 LOCUST ST.
Mailing Address - Street 2:
Mailing Address - City:CENWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034
Mailing Address - Country:US
Mailing Address - Phone:501-327-5250
Mailing Address - Fax:501-327-1464
Practice Address - Street 1:515 LOCUST ST.
Practice Address - Street 2:
Practice Address - City:CENWAY
Practice Address - State:AR
Practice Address - Zip Code:72034
Practice Address - Country:US
Practice Address - Phone:501-327-5250
Practice Address - Fax:501-327-1464
Is Sole Proprietor?:No
Enumeration Date:2015-08-20
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015029120231H00000X
ARA416231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist