Provider Demographics
NPI:1720384522
Name:LAWTON, RUTH GAY (APRN)
Entity Type:Individual
Prefix:MS
First Name:RUTH GAY
Middle Name:
Last Name:LAWTON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4877
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40204-0877
Mailing Address - Country:US
Mailing Address - Phone:502-498-4977
Mailing Address - Fax:
Practice Address - Street 1:1431 HEPBURN AVE APT 1
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40204-1652
Practice Address - Country:US
Practice Address - Phone:502-498-4977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-27
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3006777363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology