Individual provider · Type 1 NPI

Dominique Ann Lawrence, P.A.-C

Medical Physician Assistant · Austin, TX

NPI number 1023360237 Active

Practice location

2901 Montopolis Dr
Austin, TX 78741-6411

Call (512) 978-9901 Map

Fax (512) 901-9765

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA10222 (TX)
Physician Assistant 363A00000X1085 (AK)

Medical Physician Assistant: Definition to come...

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About NPI 1023360237

Dominique Ann Lawrence, P.A.-C's National Provider Identifier is 1023360237, issued on Oct 11, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Austin, TX. The record was last updated on Nov 23, 2015.