Provider Demographics
NPI:1972271021
Name:LAWLEY, LORIE ANN
Entity Type:Individual
Prefix:MRS
First Name:LORIE
Middle Name:ANN
Last Name:LAWLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 THAYER AVE
Mailing Address - Street 2:
Mailing Address - City:ANETA
Mailing Address - State:ND
Mailing Address - Zip Code:58212-4224
Mailing Address - Country:US
Mailing Address - Phone:701-213-8348
Mailing Address - Fax:
Practice Address - Street 1:415 THAYER AVE
Practice Address - Street 2:
Practice Address - City:ANETA
Practice Address - State:ND
Practice Address - Zip Code:58212-4224
Practice Address - Country:US
Practice Address - Phone:701-213-8348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant