Provider Demographics
NPI:1962385476
Name:LAWRENCE, BRAELYN EVE
Entity type:Individual
Prefix:
First Name:BRAELYN
Middle Name:EVE
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 1:3970 HERR RD
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45801-8751
Mailing Address - Country:US
Mailing Address - Phone:567-825-2093
Mailing Address - Fax:567-825-2093
Practice Address - Street 1:3970 HERR RD
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801-8751
Practice Address - Country:US
Practice Address - Phone:567-825-2093
Practice Address - Fax:567-825-2093
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker