Provider Demographics
NPI:1386652451
Name:LAWRENCE, DIANE L (APRN-PMH)
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:L
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:APRN-PMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 STONE RD
Mailing Address - Street 2:P.O. BOX 432
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21158-1826
Mailing Address - Country:US
Mailing Address - Phone:410-346-6906
Mailing Address - Fax:
Practice Address - Street 1:2 LOCUST LN STE 308
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5380
Practice Address - Country:US
Practice Address - Phone:301-970-4001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR129071163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health