Provider Demographics
NPI:1770475394
Name:LAWRENCE, CAROLINE DEBORAH
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:DEBORAH
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 EMMET ST
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02302-2317
Mailing Address - Country:US
Mailing Address - Phone:703-731-8348
Mailing Address - Fax:
Practice Address - Street 1:3 ALLIED DR STE 303
Practice Address - Street 2:
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026-6148
Practice Address - Country:US
Practice Address - Phone:781-244-0009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion