Healthcare Provider Details

I. General information

NPI: 1215919675
Provider Name (Legal Business Name): KAREN LEIGH LAWES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN LAWES WEBB

II. Dates (important events)

Enumeration Date: 11/18/2005
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 COMMUNITY LN
SOUTH HERO VT
05486-4418
US

IV. Provider business mailing address

617 RIVERSIDE AVE
BURLINGTON VT
05401-1601
US

V. Phone/Fax

Practice location:
  • Phone: 802-372-4687
  • Fax:
Mailing address:
  • Phone: 802-864-6309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberTD101111
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD00033103
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number042.0017945
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: