Provider Demographics
NPI:1578330973
Name:LAWRENCE, CARY ANNA (MSN, AGACNP-BC)
Entity Type:Individual
Prefix:
First Name:CARY
Middle Name:ANNA
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:MSN, AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4844 E 141ST DR
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-8920
Mailing Address - Country:US
Mailing Address - Phone:720-344-3068
Mailing Address - Fax:
Practice Address - Street 1:5575 S SYCAMORE ST STE 104
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-1141
Practice Address - Country:US
Practice Address - Phone:720-344-3068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-06
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0999359-NP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty