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NPI 1215919675

NPI 1215919675 : KAREN LEIGH LAWES MD : SOUTH HERO, VT

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General NPI Number Information
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    NPI Number           |    1215919675
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    Entity Type          |    Individual 
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    Provider Name        |    KAREN LEIGH LAWES MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/18/2005
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    Last Update Date     |    08/19/2025
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Provider Practice Location Address
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    Address Line         |    52 COMMUNITY LN 
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    City                 |    SOUTH HERO
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    State                |    VT
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    Zip                  |    05486-4418
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    Country              |    US
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    Telephone            |    802-372-4687
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    617 RIVERSIDE AVE 
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    City                 |    BURLINGTON
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    State                |    VT
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    Zip                  |    05401-1601
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    Country              |    US
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    Telephone            |    802-864-6309
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    TD101111
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    License Number State |    ME
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    MD00033103
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    License Number State |    WA
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Taxonomy #3
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    042.0017945
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    License Number State |    VT
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