La Tanya Lawrence, AS
La Tanya Lawrence, AS is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2018, 8 years ago. Licensed in Missouri.
- Years since qualifying
- 8
- Licensed in
- MO
- In the registry since
- 2011
Practice location Address checks out
175 N Oaks PlzSaint Louis, MO 63121-2925
Phone: (314) 391-9777
Fax: (314) 390-5404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 2019005430 (MO) |
|---|
Record details
| NPI number | 1104121102 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AS |
| Sole proprietor | No |
| NPI enumerated | January 21, 2011 |
| Last updated in NPPES | April 9, 2025 |
| Certification date | April 9, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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