K A Lawrence Llc | |
101 Oak St Portland IN 47371-3040 | |
(317) 727-9223 | |
Not Available |
Full Name | K A Lawrence Llc |
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Speciality | Social Worker |
Location | 101 Oak St, Portland, Indiana |
Authorized Official Name and Position | Kathryn A Lawrence (OWNER) |
Authorized Official Contact | 3177279223 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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K A Lawrence Llc Po Box 320 Portland IN 47371-0320 Ph: () - | K A Lawrence Llc 101 Oak St Portland IN 47371-3040 Ph: (317) 727-9223 |
NPI Number | 1104514405 |
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Provider Enumeration Date | 04/26/2023 |
Last Update Date | 04/26/2023 |
Certification Date | 04/26/2023 |
Medicare PECOS PAC ID | 1355706995 |
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Medicare Enrollment ID | O20230503001962 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104514405 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Elizabeth L Mcgee |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699730739 PECOS PAC ID: 8325095813 Enrollment ID: I20050406000961 |
Provider Name | Kathryn Lawrence |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053566182 PECOS PAC ID: 9830575448 Enrollment ID: I20221005002801 |
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