Provider Demographics
NPI:1265987028
Name:LAWRENCE, DANA (ARNP-C)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:
Other - Last Name:DOS SANTOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:10000 W COLONIAL DR
Mailing Address - Street 2:SUITE 187
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-3400
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10000 W COLONIAL DR
Practice Address - Street 2:SUITE 187
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-3400
Practice Address - Country:US
Practice Address - Phone:407-578-6610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-22
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9325499363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health