Amanda N Lawrence, PA-C

NPI #1295026631 in Wildwood, Missouri

Provider Information

NPI Number: 1295026631
Entity Type: Individual
Name: Amanda N Lawrence, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 19, 2011
Last Updated: Jan 18, 2017

Practice Location

Address: 16759 MAIN ST
Address 2: STE. 201
City: Wildwood
State: Missouri
ZIP Code: 63040-1232
Phone: (636) 821-1661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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