Provider Demographics
NPI:1659006021
Name:LAWSON, CAITLIN MICHELLE (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:MICHELLE
Last Name:LAWSON
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:MICHELLE
Other - Last Name:KNOELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2871 BURNING ROCK ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-3930
Mailing Address - Country:US
Mailing Address - Phone:218-230-5449
Mailing Address - Fax:
Practice Address - Street 1:1202 E SONTERRA BLVD STE 701
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4094
Practice Address - Country:US
Practice Address - Phone:210-963-7393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-20
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1088012363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily