Provider Demographics
NPI:1427097468
Name:LAWRENCE, JANICE E (OTR/L, CHT)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:E
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10801 E 350 HWY
Mailing Address - Street 2:
Mailing Address - City:RAYTOWN
Mailing Address - State:MO
Mailing Address - Zip Code:64138-2367
Mailing Address - Country:US
Mailing Address - Phone:816-737-5500
Mailing Address - Fax:816-737-5504
Practice Address - Street 1:10801 E 350 HWY
Practice Address - Street 2:
Practice Address - City:RAYTOWN
Practice Address - State:MO
Practice Address - Zip Code:64138-2367
Practice Address - Country:US
Practice Address - Phone:816-737-5500
Practice Address - Fax:816-737-5504
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO002235225XH1200X
KS1702222225XH1200X
MO989128225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO35416083OtherBCBS
MOK86D471BMedicare PIN
MOT07D471Medicare PIN
MO35416083OtherBCBS