1639148083 NPI number — KAREN KNOWLES LAWRENCE TEACHER

Table of content: KAREN KNOWLES LAWRENCE TEACHER (NPI 1639148083)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639148083 NPI number — KAREN KNOWLES LAWRENCE TEACHER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LAWRENCE
Provider First Name:
KAREN
Provider Middle Name:
KNOWLES
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
TEACHER
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BOYLE /NOBERT
Provider Other First Name:
KAREN
Provider Other Middle Name:
LAWRENCE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
TEACHER
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1639148083
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
GIESSEN EDIS
Provider Second Line Business Mailing Address:
CMR 452 BOX 1972
Provider Business Mailing Address City Name:
APO
Provider Business Mailing Address State Name:
AE
Provider Business Mailing Address Postal Code:
09045
Provider Business Mailing Address Country Code:
DE
Provider Business Mailing Address Telephone Number:
06414028450
Provider Business Mailing Address Fax Number:
06414028412

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
HANAU HEALTH CLINIC
Provider Second Line Business Practice Location Address:
CMR 470
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AE
Provider Business Practice Location Address Postal Code:
09165
Provider Business Practice Location Address Country Code:
DE
Provider Business Practice Location Address Telephone Number:
49061815006732
Provider Business Practice Location Address Fax Number:
49061815006668
Provider Enumeration Date:
03/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171W00000X , with the licence number:  229856J , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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