Provider Demographics
NPI:1639148083
Name:LAWRENCE, KAREN KNOWLES (TEACHER)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:KNOWLES
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:TEACHER
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:LAWRENCE
Other - Last Name:BOYLE /NOBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:TEACHER
Mailing Address - Street 1:GIESSEN EDIS
Mailing Address - Street 2:CMR 452 BOX 1972
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09045
Mailing Address - Country:DE
Mailing Address - Phone:0641-402-8450
Mailing Address - Fax:0641-402-8412
Practice Address - Street 1:HANAU HEALTH CLINIC
Practice Address - Street 2:CMR 470
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09165
Practice Address - Country:DE
Practice Address - Phone:4906181-500-6732
Practice Address - Fax:4906181-500-6668
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA229856J171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor