Tedra Ann Lawrence, APRN
NPI #1538988829 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1538988829
- Entity Type
- Individual
- Name
- Tedra Ann Lawrence, APRN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- APRN
- Enumeration Date
- Oct 4, 2024
- Last Updated
- Dec 17, 2024
Practice Location
- Address
- 209 CROSSROADS PL STE 120
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-6545
- Phone
- (618) 918-6045
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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