Provider Demographics
NPI:1841697562
Name:LAWRENCE, GENEVIEVE MONET (RN)
Entity type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:MONET
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22311 75TH STREET CT E
Mailing Address - Street 2:
Mailing Address - City:BUCKLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98321-8774
Mailing Address - Country:US
Mailing Address - Phone:253-569-8338
Mailing Address - Fax:253-447-8596
Practice Address - Street 1:22311 75TH STREET CT E
Practice Address - Street 2:
Practice Address - City:BUCKLEY
Practice Address - State:WA
Practice Address - Zip Code:98321-8774
Practice Address - Country:US
Practice Address - Phone:253-569-8338
Practice Address - Fax:253-447-8596
Is Sole Proprietor?:No
Enumeration Date:2014-11-24
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00176389163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse