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
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XRN262464OHN Nursing Service ProvidersRegistered Nurse 
363LF0000XNP10374OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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