Provider Demographics
NPI:1114020799
Name:LAWLOR, DEBBIE LEE (RN MSN ANPC)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:LEE
Last Name:LAWLOR
Suffix:
Gender:F
Credentials:RN MSN ANPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 W TAYLOR AVE
Mailing Address - Street 2:UNIT 6F
Mailing Address - City:WILDWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08260
Mailing Address - Country:US
Mailing Address - Phone:609-458-2144
Mailing Address - Fax:
Practice Address - Street 1:6410 NEW JERSEY AVENUE
Practice Address - Street 2:CREST MEDICAL ASSOCIATES
Practice Address - City:WILDWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08260
Practice Address - Country:US
Practice Address - Phone:609-523-1331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00105900363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily