Provider Demographics
NPI:1336936012
Name:LAWRENCE, ROSALIND Y (MS)
Entity type:Individual
Prefix:
First Name:ROSALIND
Middle Name:Y
Last Name:LAWRENCE
Suffix:
Gender:
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13140 COIT RD STE 200
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-5740
Mailing Address - Country:US
Mailing Address - Phone:469-480-9021
Mailing Address - Fax:945-229-2432
Practice Address - Street 1:13140 COIT RD STE 200
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-5740
Practice Address - Country:US
Practice Address - Phone:469-480-9021
Practice Address - Fax:945-229-2432
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator