Provider Demographics
NPI:1154898732
Name:LAWS, NIOKIE
Entity type:Individual
Prefix:
First Name:NIOKIE
Middle Name:
Last Name:LAWS
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 1:216 CRAIN HWY N STE 202A
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-3085
Mailing Address - Country:US
Mailing Address - Phone:443-734-8014
Mailing Address - Fax:410-760-6343
Practice Address - Street 1:216 CRAIN HWY N STE 202A
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-3085
Practice Address - Country:US
Practice Address - Phone:443-734-8014
Practice Address - Fax:410-760-6343
Is Sole Proprietor?:No
Enumeration Date:2018-11-01
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
224P00000X
MD224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist