MRS. Ta Tanisha Lawrence
NPI #1124773247 in Phenix City, Alabama
Provider Information
- NPI Number
- 1124773247
- Entity Type
- Individual
- Name
- MRS. Ta Tanisha Lawrence
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Feb 17, 2022
- Last Updated
- Feb 18, 2022
Practice Location
- Address
- 1002 INGERSOLL DR STE 5
- City
- Phenix City
- State
- Alabama
- ZIP Code
- 36867-6040
- Phone
- (706) 289-0800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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