Provider Demographics
NPI:1750722799
Name:LAWRANCE, ASHLEY LYNN (PHARM D)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LYNN
Last Name:LAWRANCE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8722 BECKER LN
Mailing Address - Street 2:APT 304
Mailing Address - City:DELMAR
Mailing Address - State:MD
Mailing Address - Zip Code:21875-2577
Mailing Address - Country:US
Mailing Address - Phone:443-365-4141
Mailing Address - Fax:
Practice Address - Street 1:1316 MOUNT HERMON RD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-5220
Practice Address - Country:US
Practice Address - Phone:410-749-0205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-06
Last Update Date:2013-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21561183500000X
DEA1-0004422183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist