Healthcare Provider Details

I. General information

NPI: 1851908552
Provider Name (Legal Business Name): KARMA LISA LAWRENCE CFNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2020
Last Update Date: 01/22/2024
Certification Date: 01/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 N JEFFERSON AVE
MT PLEASANT TX
75455-2338
US

IV. Provider business mailing address

2001 N JEFFERSON AVE
MT PLEASANT TX
75455-2338
US

V. Phone/Fax

Practice location:
  • Phone: 903-577-6360
  • Fax:
Mailing address:
  • Phone: 903-577-6360
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1150354
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: