Provider Demographics
NPI:1235477431
Name:LAWRENCE, MARGARET ANN
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:ANN
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3025 BECERRA WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-3933
Mailing Address - Country:US
Mailing Address - Phone:916-486-1161
Mailing Address - Fax:916-484-7010
Practice Address - Street 1:3025 BECERRA WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-3933
Practice Address - Country:US
Practice Address - Phone:916-486-1161
Practice Address - Fax:916-484-7010
Is Sole Proprietor?:No
Enumeration Date:2013-01-22
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing Personnel
No376G00000XNursing Service Related ProvidersNursing Home Administrator