Provider Demographics
NPI:1386440956
Name:LAWOR, DAVID KARMUE JR (RN, BSN,CCRN)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:KARMUE
Last Name:LAWOR
Suffix:JR
Gender:
Credentials:RN, BSN,CCRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1145 116TH AVE NE APT 130
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:55434-5405
Mailing Address - Country:US
Mailing Address - Phone:612-868-3840
Mailing Address - Fax:
Practice Address - Street 1:1145 116TH AVE NE APT 130
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:MN
Practice Address - Zip Code:55434-5405
Practice Address - Country:US
Practice Address - Phone:612-868-3840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2475418163WH0200X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health