Provider Demographics
NPI:1538572706
Name:LAWRENCE, VALERIE YVETTE (RN)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:YVETTE
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 HEREFORD CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45216-1133
Mailing Address - Country:US
Mailing Address - Phone:513-258-9605
Mailing Address - Fax:
Practice Address - Street 1:150 HEREFORD CT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45216-1133
Practice Address - Country:US
Practice Address - Phone:513-258-9605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-05
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH369432251B00000X, 251E00000X, 282E00000X, 305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No282E00000XHospitalsLong Term Care Hospital
No305S00000XManaged Care OrganizationsPoint of Service