Provider Demographics
NPI:1548543028
Name:LAWRENCE, AMY CATHERINE (DC)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:CATHERINE
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MISS
Other - First Name:AMY
Other - Middle Name:CATHERINE
Other - Last Name:NOVAC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:129 US HWY 31
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:AL
Mailing Address - Zip Code:35611-2825
Mailing Address - Country:US
Mailing Address - Phone:256-233-7776
Mailing Address - Fax:256-233-7688
Practice Address - Street 1:129 US HWY 31
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:AL
Practice Address - Zip Code:35611-2825
Practice Address - Country:US
Practice Address - Phone:256-233-7776
Practice Address - Fax:256-233-7688
Is Sole Proprietor?:No
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL#2111111N00000X
AL#1958225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist