Provider Demographics
NPI:1275185290
Name:LAWSHE, CAITLIN R (NP-C)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:R
Last Name:LAWSHE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 585
Mailing Address - Street 2:
Mailing Address - City:RIDGWAY
Mailing Address - State:CO
Mailing Address - Zip Code:81432-0585
Mailing Address - Country:US
Mailing Address - Phone:970-626-6026
Mailing Address - Fax:970-626-6088
Practice Address - Street 1:195 S LENA ST UNIT A
Practice Address - Street 2:
Practice Address - City:RIDGWAY
Practice Address - State:CO
Practice Address - Zip Code:81432-8974
Practice Address - Country:US
Practice Address - Phone:970-626-6026
Practice Address - Fax:970-626-6088
Is Sole Proprietor?:No
Enumeration Date:2019-07-10
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0199174363L00000X
CO0994899207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner