Lawrence, Samantha Mary

Lawrence, Samantha Mary is an individual health care provider with primary practice located at 2137 16Th St N , St Petersburg FL 33704-3923. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Lawrence, Samantha Mary can be contacted via phone (727) 526-9135.

Contact Information

Primary practice address
2137 16Th St N St Petersburg FL 33704-3923
Phone: (727) 526-9135
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP9296311 Florida

Profile Details

NPI number 1598171175
LBN Legal business name Lawrence, Samantha Mary
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2014
Last updated Nov 17th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598171175 NPPES
Florida MEDICAID 012354100

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