Provider Demographics
NPI:1952592438
Name:LAWRENCE, SHANE D (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SHANE
Middle Name:D
Last Name:LAWRENCE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6520 STONEGATE DR
Mailing Address - Street 2:SUITE 100 PHOEBE SERVICES PHARMACY
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18106-9297
Mailing Address - Country:US
Mailing Address - Phone:610-794-5146
Mailing Address - Fax:610-794-5415
Practice Address - Street 1:6520 STONEGATE DR
Practice Address - Street 2:SUITE 100 PHOEBE SERVICES PHARMACY
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18106-9297
Practice Address - Country:US
Practice Address - Phone:610-794-5146
Practice Address - Fax:610-794-5415
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP-036021-L1835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric