Provider Demographics
NPI:1316374713
Name:LAWLOR, DAWN ELLEN (ND)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:ELLEN
Last Name:LAWLOR
Suffix:
Gender:F
Credentials:ND
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 240884
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99524-0884
Mailing Address - Country:US
Mailing Address - Phone:907-771-4096
Mailing Address - Fax:907-771-4097
Practice Address - Street 1:207 E NORTHERN LIGHTS BLVD STE 212
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-2731
Practice Address - Country:US
Practice Address - Phone:907-771-4096
Practice Address - Fax:907-771-4097
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-30
Last Update Date:2020-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKN94175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath