Provider Demographics
NPI:1861637118
Name:ALEXANDER, LAWRENCE (LPN)
Entity Type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9507 HULL STREET RD
Mailing Address - Street 2:SUITE G-1
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23236-1476
Mailing Address - Country:US
Mailing Address - Phone:804-837-2196
Mailing Address - Fax:
Practice Address - Street 1:9507 HULL STREET RD
Practice Address - Street 2:SUITE G-1
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23236-1476
Practice Address - Country:US
Practice Address - Phone:804-837-2196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-15
Last Update Date:2008-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001133089164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse