IndividualActive
John Lawrence, C.PED
NPI 1154084887 · Pedorthist · Shelbyville, KY
Provider details
- NPI number
- 1154084887
- Entity type
- Individual
- Primary specialty
- PedorthistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- C.PED
- Sex
- Male
- Sole proprietor
- No
- License
- 4669 (KY)
Practice location
77 Mack Walters Rd Ste 301b
Shelbyville, KY 40065-1793
Phone: (502) 437-0134
Mailing address
1705 Manley Leestown Rd
Frankfort, KY 40601-9494
Registry dates
- Enumerated
- 2021-10-19
- Last updated
- 2024-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.