Provider Demographics
NPI:1194721985
Name:LAWRIMORE, DEBORAH EVANS (APRN)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:EVANS
Last Name:LAWRIMORE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1993 MUDDY CREEK RD
Mailing Address - Street 2:
Mailing Address - City:JOHNSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29555-3314
Mailing Address - Country:US
Mailing Address - Phone:843-558-5656
Mailing Address - Fax:
Practice Address - Street 1:901 E CHEVES ST
Practice Address - Street 2:STE 200
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-2769
Practice Address - Country:US
Practice Address - Phone:843-662-2299
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCAPN855363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCP77552Medicare UPIN