AMANDA LARAE LAWRENCE


Address: 520 S. Mustang Rd, Yukon, OK 73099
Phone: 4059365960

AMANDA LARAE LAWRENCE (NPI# 1255330080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255330080
Entity Type Individual
Full Name AMANDA LARAE LAWRENCE
Credential PT
Practice Address 520 S. Mustang Rd
Yukon
OK 73099
Mailing Address 541 E. Forest Ln
Mustang
OK 73064
Practice Telephone 4059365960
Practice Fax Number 4053240246
Mailing Telephone 4052560506
Enumeration Date 2005-07-14
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251X0800X Physical Therapist
Specialization: Orthopedic
PT3780 OK Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OK BCBS OF OKLA 4429092R2001 01

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Office Location

Street Address 520 S. MUSTANG RD
City YUKON
State OK
Zip Code 73099

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922625201 Bintu Sinju Thomas Nurse Practitioner 752 Dana Dr Yukon Oklahoma, Yukon, OK 73099 2020-07-02
1164049185 Custom Dental of Yukon, Pllc Clinic/Center 4425 Grant Blvd, Yukon, OK 73099 2020-06-26
1720600174 Piedmont Dentistry & Braces Clinic/Center 12000 Nw Expressway, Yukon, OK 73099 2020-05-08
1073135588 Yukon Dentistry & Braces Clinic/Center 901 E Main Street, Suite 100, Yukon, OK 73099 2020-05-07
1457998734 Here At Home Senior Care LLC In Home Supportive Care 7709 Nw Expressway Ste B, Yukon, OK 73099 2019-12-05
1255981619 Mariam Reynolds Case Manager/Care Coordinator 7905 Ok-66, El Reno, OK 73099 2019-09-18
1780239202 Immediate Care of Oklahoma, LLC Clinic/Center 10616 U.S. Highway 66, Suite 100, Oklahoma City, OK 73099 2019-08-02
1013490689 Jade Bell Physical Therapy Assistant 1000 Desert Trail, Yukon, OK 73099 2018-09-10
1821570250 Anjoli Tamesha Vanwey Case Manager/Care Coordinator 1213 Yuhoma Dr, Yukon, OK 73099 2018-09-01
1194220780 Michael Lee Lefever Case Manager/Care Coordinator 11705 Sw 115th Ter, Yukon, OK 73099 2018-03-27
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Taxonomy Information

Taxonomy Code 2251X0800X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Orthopedic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1912510843 Premier Physical Therapy LLC Physical Therapist 3333 W Hefner Rd Ste D, Oklahoma City, OK 73120-5060 2020-08-29
1437761590 Dr. Whitney M. Ellsworth, Dpt, Pllc Physical Therapist 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 2020-08-20
1457960718 Ryoki Aoki Physical Therapist 2270 N Perkins Rd # 245, Stillwater, OK 74075-3078 2020-07-23
1952927816 Juliana Joy Lackey Physical Therapist 1211 N Shartel Ave Ste 801, Oklahoma City, OK 73103-2425 2020-06-17
1285258202 Rachel Christine Carroll Physical Therapist 1876 Utica Sq Ste 1b, Tulsa, OK 74114-1452 2020-06-05
1205491776 Thrive Physio and Performance, LLC Physical Therapist 4201 Ne 116th St, Oklahoma City, OK 73131-4413 2019-05-09
1265819221 Kailey N. Limber Physical Therapist 3327 Nw 50th, Oklahoma City, OK 73112 2015-04-29
1457784712 Christopher Martin Ritchie Physical Therapist 613 Hillcrest St, Muskogee, OK 74403-8589 2013-08-09
1629339718 Kathy Sue Bonar Physical Therapist 3500 S Boulevard Ste A1, Edmond, OK 73013-5486 2012-06-05
1649549056 Mainstream Physical Therapy L.L.C. Physical Therapist 30352 S Vfw Rd, Stigler, OK 74462-3606 2011-12-14
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Competitor

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City YUKON
Zip Code 73099

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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