Provider Demographics
NPI:1437396603
Name:LAWRENCE, SANDRA M (CPED)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:M
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:CPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7520 PEACH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16509-4715
Mailing Address - Country:US
Mailing Address - Phone:814-868-2918
Mailing Address - Fax:814-866-9395
Practice Address - Street 1:7520 PEACH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16509-4715
Practice Address - Country:US
Practice Address - Phone:814-868-2918
Practice Address - Fax:814-866-9395
Is Sole Proprietor?:No
Enumeration Date:2009-01-09
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist