Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 0101253179 | VA |
N | 207RA0201X | Internist - Allergy & Immunology | D0071618 | MD |
NPI | 1407052756 |
---|---|
Provider Name | Monica G. Lawrence |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22903-9353 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2007 |
Last Update Date | 30/09/2020 |