Individual provider · Type 1 NPI

John Clark Lawrence, C.PED

Pedorthist · Shelbyville, KY

NPI number 1154084887 Active

Practice location

77 Mack Walters Rd Ste 301B
Shelbyville, KY 40065-1793

Mailing address

1705 Manley Leestown Rd
Frankfort, KY 40601-9494

Specialties and licenses

TaxonomyCodeLicense
Pedorthist Primary 224L00000X4669 (KY)

Pedorthist: An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.

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About NPI 1154084887

John Clark Lawrence, C.PED's National Provider Identifier is 1154084887, issued on Oct 19, 2021. The primary taxonomy on file is Pedorthist (224L00000X), and the practice location is in Shelbyville, KY. The record was last updated on Nov 1, 2024.