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Dr. Marisa Lawrence, MDPC
Specialist in Atlanta, Georgia
NPI 1154412401

Marisa Lawrence is a Specialist based in Atlanta, GA. Marisa Lawrence practices in Atlanta, GA and has the professional credentials of MDPC. The NPI Number for Marisa Lawrence is 1154412401 and holds a License No. 582261832 (Georgia).

The current practice location address for Marisa Lawrence is 980 Johnson Fy Rd Ne Ste 110, Atlanta, GA and can be reached out via phone at 404-303-7004 and via fax at 404-303-7020.

Location: 980 Johnson Fy Rd Ne Ste 110, Atlanta, GA, 30342-1607
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Provider Profile Details
NPI Number
1154412401
Provider Name
Marisa Lawrence
Credential
MDPC
Provider Entity Type
Individual
Gender
Female
Address
980 Johnson Fy Rd Ne Ste 110, Atlanta, GA, 30342-1607
Phone Number
404-303-7004
Fax Number
404-303-7020
Provider Enumeration Date
09/28/2006
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
582261832 01 GA TAX ID
institution
Provider Business Practice Location Address Details
Address
980 Johnson Fy Rd Ne Ste 110
City
State
Zip
30342-1607
Phone Number
404-303-7004
Fax Number
404-303-7020
person
Provider Business Mailing Address Details
Address
980 Johnson Fy Rd Ne Ste 110
City
State
Zip
30342-1607
Phone Number
404-303-7004
Fax Number
404-303-7020
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
582261832 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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