Individual provider · Type 1 NPI
Kelli Rebecca Lawrence
Primary Care Nurse Practitioner · Porum, OK
NPI number
1023742632
Active
Practice location
429728 E 1148 Rd
Porum, OK 74455-5741
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 209447 (OK) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1023742632
Kelli Rebecca Lawrence's National Provider Identifier is 1023742632, issued on Jul 11, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Porum, OK. The record was last updated on Jan 26, 2026.