Basic Information
Provider Information | |||||||||
NPI: | 1417195256 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | LAWLER | ||||||||
FirstName: | KAREN | ||||||||
MiddleName: | R | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | CNP | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 1330 COSHOCTON | ||||||||
Address2: |   | ||||||||
City: | MOUNT VERNON | ||||||||
State: | OH | ||||||||
PostalCode: | 43050 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 7403939000 | ||||||||
FaxNumber: |   | ||||||||
Practice Location | |||||||||
Address1: | 12 1/2 MAIN STREET | ||||||||
Address2: |   | ||||||||
City: | DANVILLE | ||||||||
State: | OH | ||||||||
PostalCode: | 43014 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 7405997724 | ||||||||
FaxNumber: | 7405995526 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 02/02/2009 | ||||||||
LastUpdateDate: | 12/20/2012 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN262464 | OH | N |   | Nursing Service Providers | Registered Nurse |   | 363LF0000X | NP10374 | OH | Y |   | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.