Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | ARNP9422486 | FL |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | ARNP9422486 | FL |
NPI | 1265804876 |
---|---|
Provider Name | James Lawrence |
First Address | Orlando, FL 32804-4644 |
Second Address | Orlando, FL 32803-1248 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2015 |
Last Update Date | 16/02/2018 |