Provider Demographics
NPI:1215919675
Name:LAWES, KAREN LEIGH (MD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:LEIGH
Last Name:LAWES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:LAWES
Other - Last Name:WEBB
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04963-5074
Mailing Address - Country:US
Mailing Address - Phone:207-465-2181
Mailing Address - Fax:207-465-4629
Practice Address - Street 1:9 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:ME
Practice Address - Zip Code:04963-5074
Practice Address - Country:US
Practice Address - Phone:207-465-2181
Practice Address - Fax:207-465-4629
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00033103207Q00000X
METD101111207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0174274OtherLABOR & INDUSTRIES
WA8371056Medicaid
WA8371056Medicaid
WA0174274OtherLABOR & INDUSTRIES
WAG82442Medicare UPIN
ME001842501Medicare PIN