Elizabeth Lawrence, AT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601001064 Issued in MI

Practice address

1121 Seminole Rd
Norton Shores, MI 49441-4345

Phone

(616) 403-6507

NPI assigned

Aug 20, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503187200000",
    "number": "1013433184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15993 PEACH RIDGE AVE",
            "city": "KENT CITY",
            "state": "MI",
            "postal_code": "493309758",
            "telephone_number": "616-403-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 SEMINOLE RD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494414345",
            "telephone_number": "616-403-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "ELIZABETH",
        "credential": "AT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-20",
        "last_updated": "2017-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601001064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Nicole Lane, DO
• Marissa F Lange
• Erlund John Larson, PHD.,MD
• Joseph Robert Larson, DMD, MD
• Carolyn Lawless, DPT
• Sean M Lawson, MD
• Jennifer J Layne-Roy
• John Michael Leclaire, M.D.
• Tina M Ledford
• William Deane Lengkeek, D.C.

• Athletic Trainer in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.