Provider Demographics
NPI:1831993443
Name:LAWRENCE, MEGHAN ALYSSA
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:ALYSSA
Last Name:LAWRENCE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1137 KINGSWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-2436
Mailing Address - Country:US
Mailing Address - Phone:205-470-0229
Mailing Address - Fax:
Practice Address - Street 1:1137 KINGSWOOD RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-2436
Practice Address - Country:US
Practice Address - Phone:205-470-0229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-192143163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse