IndividualActive
Amanda Lawrence
NPI 1659155216 · Independent Duty Corpsman · Kodiak, AK
Provider details
- NPI number
- 1659155216
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
200 Albatross Ave Bldg N46
Kodiak, AK 99615-6810
Phone: (907) 487-5757
Approximate (ZIP-level) locationGet directions
Mailing address
2649 Lago Oaks Dr
Santa Rosa, CA 95405-9100
Registry dates
- Enumerated
- 2023-08-23
- Last updated
- 2023-08-23
- Certified
- 2023-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.