Provider Demographics
NPI:1134461718
Name:LAWVER, ERIN KAY (LPN)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:KAY
Last Name:LAWVER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 S HIGH ST
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:OH
Mailing Address - Zip Code:43973-8955
Mailing Address - Country:US
Mailing Address - Phone:740-658-3517
Mailing Address - Fax:
Practice Address - Street 1:215 S HIGH ST
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:OH
Practice Address - Zip Code:43973-8955
Practice Address - Country:US
Practice Address - Phone:740-658-3517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-21
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH135970164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse