Provider Demographics
NPI:1407995764
Name:LAWLESS, FRAN M
Entity Type:Individual
Prefix:MRS
First Name:FRAN
Middle Name:M
Last Name:LAWLESS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10303 133RD PL SE
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98296-8228
Mailing Address - Country:US
Mailing Address - Phone:425-238-6815
Mailing Address - Fax:360-668-0451
Practice Address - Street 1:10303 133RD PL SE
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98296-8228
Practice Address - Country:US
Practice Address - Phone:425-238-6815
Practice Address - Fax:360-668-0451
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00011592225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist