Provider Demographics
NPI:1780025874
Name:LAWSON-RENFRO, LAURA LEANN (DNP, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:LEANN
Last Name:LAWSON-RENFRO
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 MIDWAY ST
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:TN
Mailing Address - Zip Code:37620-1602
Mailing Address - Country:US
Mailing Address - Phone:423-573-4891
Mailing Address - Fax:423-573-4893
Practice Address - Street 1:260 MIDWAY ST
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620
Practice Address - Country:US
Practice Address - Phone:423-573-4891
Practice Address - Fax:423-573-4893
Is Sole Proprietor?:No
Enumeration Date:2013-07-17
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN17721363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily