Healthcare Provider Details

I. General information

NPI: 1417195256
Provider Name (Legal Business Name): KAREN R LAWLER CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2009
Last Update Date: 12/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 1/2 MAIN STREET
DANVILLE OH
43014
US

IV. Provider business mailing address

1330 COSHOCTON
MOUNT VERNON OH
43050
US

V. Phone/Fax

Practice location:
  • Phone: 740-599-7724
  • Fax: 740-599-5526
Mailing address:
  • Phone: 740-393-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN262464
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP10374
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: