Individual provider · Type 1 NPI

Ta Tanisha Lawrence

Prosthetic/Orthotic Supplier · Phenix City, AL

NPI number 1124773247 Active

Practice location

1002 Ingersoll Dr Ste 5
Phenix City, AL 36867-6040

Fax (334) 326-4988

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Another provider at this address

About NPI 1124773247

Ta Tanisha Lawrence's National Provider Identifier is 1124773247, issued on Feb 17, 2022. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Phenix City, AL. The record was last updated on Feb 18, 2022.