Provider Demographics
NPI:1417046608
Name:HUTCHINSON, LAWRENCE P (RN, GNP, CNS)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:P
Last Name:HUTCHINSON
Suffix:
Gender:M
Credentials:RN, GNP, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6503 MAPLERIDGE ST UNIT E
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-4650
Mailing Address - Country:US
Mailing Address - Phone:281-546-0601
Mailing Address - Fax:
Practice Address - Street 1:6503 MAPLERIDGE ST UNIT E
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-4650
Practice Address - Country:US
Practice Address - Phone:281-546-0601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX464655363LG0600X, 364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX154364701Medicaid
TX154364701Medicaid
P69627Medicare UPIN