Provider Demographics
NPI:1124069281
Name:LAWRENCE, ROSLYN M (ARNP)
Entity type:Individual
Prefix:
First Name:ROSLYN
Middle Name:M
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:ARNP
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Mailing Address - Street 1:246 PLEASANT STREET MEMORIAL BUILDING, WEST, GROUND FLO
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-2588
Mailing Address - Country:US
Mailing Address - Phone:603-224-9661
Mailing Address - Fax:603-228-7051
Practice Address - Street 1:246 PLEASANT STREET MEMORIAL BUILDING, WEST, GROUND FLO
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-2588
Practice Address - Country:US
Practice Address - Phone:603-224-9661
Practice Address - Fax:603-228-7051
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH026473-23-12363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHP43626Medicare UPIN