Individual provider · Type 1 NPI

Michael Lawrence

Student in an Organized Health Care Education/Training Program · Mchenry, IL

NPI number 1407394612 Active

Practice location

2219 N Long Ln
Mchenry, IL 60051-9461

Call (815) 701-7186 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1407394612

Michael Lawrence's National Provider Identifier is 1407394612, issued on Feb 8, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mchenry, IL. The record was last updated on Feb 8, 2017.