Healthcare Provider Details

I. General information

NPI: 1770405284
Provider Name (Legal Business Name): KARREN SIMONE LAWSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 VALLEY RD
WARRINGTON PA
18976-2261
US

IV. Provider business mailing address

600 VALLEY RD APT B43
WARRINGTON PA
18976-2222
US

V. Phone/Fax

Practice location:
  • Phone: 267-403-7835
  • Fax:
Mailing address:
  • Phone: 267-403-7835
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP036651
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: