Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | F320059-1 | NY |
NPI | 1962481069 |
---|---|
Provider Name | Ms. Dawn Catherine Lawyer |
First Address | Binghamton, NY 13905 |
Second Address | Greene, NY 13778-1057 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2006 |
Last Update Date | 18/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02700907 | (05) | NY |
Q61469 | (02) | NY |