IndividualActive
Richard Lawrence
NPI 1154063089 · Pedorthist · Shelbyville, KY
Provider details
- NPI number
- 1154063089
- Entity type
- Individual
- Primary specialty
- PedorthistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 224L00000X (KY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
77 Mack Walters Rd Ste 301b
Shelbyville, KY 40065-1793
Phone: (502) 803-5570
Approximate (ZIP-level) locationGet directions
Mailing address
1705 Manley Leestown Rd
Frankfort, KY 40601-9494
Registry dates
- Enumerated
- 2022-04-11
- Last updated
- 2022-04-11
- Certified
- 2021-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.