Provider Demographics
NPI:1720431521
Name:LAWRIW, CONSTANCE (NP)
Entity Type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:
Last Name:LAWRIW
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 WALLS DR
Mailing Address - Street 2:SUITE 505
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76033-7022
Mailing Address - Country:US
Mailing Address - Phone:830-370-3980
Mailing Address - Fax:817-556-9702
Practice Address - Street 1:203 WALLS DR
Practice Address - Street 2:SUITE 505
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-7022
Practice Address - Country:US
Practice Address - Phone:830-370-3980
Practice Address - Fax:817-556-9702
Is Sole Proprietor?:No
Enumeration Date:2016-07-15
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131269363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care