Most Relevant Information
Provider Data
| NPI Number: | 1003501735 |
| Provider Name: | TAMMY DENISE LAWRENCE |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/10/2023 |
| Last Updated: | 04/10/2023 |
Provider Practice Location
1458 OGDEN ST NW
WASHINGTON
DC
200101905
Practice Location Phone/Fax
| Phone: | 3017589954 |
| Fax: |
Provider Mailing Location
1458 OGDEN ST NW
WASHINGTON
DC
200101905
Provider Mailing Phone/Fax
| Phone: | 3017589954 |
| Fax: |