Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 547 | NC |
Y | 222Z00000X | Podiatrist | 547 | NC |
N | 213EP1101X | Primary Podiatric Medicine | 547 | NC |
N | 213ES0103X | Foot & Ankle Surgery | 547 | NC |
N | 213ES0131X | Foot Surgery | 547 | NC |
NPI | 1386797090 |
---|---|
Provider Name | Gretchen A. Lawrence |
First Address | Shelby, NC 28150-3840 |
Second Address | Shelby, NC 28150-3840 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2007 |
Last Update Date | 04/11/2020 |