Provider Demographics
NPI:1871892943
Name:LAWRENCE, ROSEMARIE ZADLO (BS)
Entity type:Individual
Prefix:MS
First Name:ROSEMARIE
Middle Name:ZADLO
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11327 E. DIXIE DR.
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-6216
Mailing Address - Country:US
Mailing Address - Phone:336-629-7035
Mailing Address - Fax:336-626-6928
Practice Address - Street 1:11327 E. DIXIE DR.
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-6216
Practice Address - Country:US
Practice Address - Phone:336-629-7035
Practice Address - Fax:336-626-6928
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-15
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC08937183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist