Provider Demographics
NPI:1174746283
Name:LAWRENCE-COLE, PAMELA (BC-HIS)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:
Last Name:LAWRENCE-COLE
Suffix:
Gender:F
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 N COURT ST
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:MO
Mailing Address - Zip Code:63334-1534
Mailing Address - Country:US
Mailing Address - Phone:573-324-2112
Mailing Address - Fax:
Practice Address - Street 1:8 N COURT ST
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:MO
Practice Address - Zip Code:63334-1534
Practice Address - Country:US
Practice Address - Phone:573-324-2112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO637237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist