Provider Demographics
NPI:1912332560
Name:LAWRENCE, TOWNIE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:TOWNIE
Middle Name:
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 S JOHNSON ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2237
Mailing Address - Country:US
Mailing Address - Phone:972-391-4432
Mailing Address - Fax:504-581-4702
Practice Address - Street 1:417 S JOHNSON ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2237
Practice Address - Country:US
Practice Address - Phone:972-391-4432
Practice Address - Fax:504-581-4702
Is Sole Proprietor?:No
Enumeration Date:2013-09-13
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA990841164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse