Provider Demographics
NPI:1497734545
Name:LAWLESS, ELAINE LENORE (MS, RN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ELAINE
Middle Name:LENORE
Last Name:LAWLESS
Suffix:
Gender:F
Credentials:MS, RN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 KURT ST
Mailing Address - Street 2:
Mailing Address - City:EUSTIS
Mailing Address - State:FL
Mailing Address - Zip Code:32726-6169
Mailing Address - Country:US
Mailing Address - Phone:352-589-2501
Mailing Address - Fax:352-589-4041
Practice Address - Street 1:2300 KURT ST
Practice Address - Street 2:
Practice Address - City:EUSTIS
Practice Address - State:FL
Practice Address - Zip Code:32726-6169
Practice Address - Country:US
Practice Address - Phone:352-589-2501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-16
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9214279363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily