| K A Lawrence Llc | |
|
216 S Meridian St Portland IN 47371-2115 | |
| (260) 251-6928 | |
| Not Available |
| Full Name | K A Lawrence Llc |
|---|---|
| Speciality | Social Worker |
| Location | 216 S Meridian St, Portland, Indiana |
| Authorized Official Name and Position | Kathryn A Lawrence (OWNER) |
| Authorized Official Contact | 2602516928 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| K A Lawrence Llc 216 S Meridian St Portland IN 47371-2115 Ph: (260) 251-6928 | K A Lawrence Llc 216 S Meridian St Portland IN 47371-2115 Ph: (260) 251-6928 |
| NPI Number | 1104514405 |
|---|---|
| Provider Enumeration Date | 04/26/2023 |
| Last Update Date | 04/30/2025 |
| Certification Date | 04/30/2025 |
| Medicare PECOS PAC ID | 1355706995 |
|---|---|
| Medicare Enrollment ID | O20230503001962 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104514405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Elizabeth L Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699730739 PECOS PAC ID: 8325095813 Enrollment ID: I20050406000961 |
| Provider Name | Kathryn Lawrence |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053566182 PECOS PAC ID: 9830575448 Enrollment ID: I20221005002801 |
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