Provider Demographics
NPI:1396490488
Name:LAWLOR, HANNA ELIZABETH
Entity type:Individual
Prefix:
First Name:HANNA
Middle Name:ELIZABETH
Last Name:LAWLOR
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:PO BOX 476
Mailing Address - Street 2:
Mailing Address - City:YELM
Mailing Address - State:WA
Mailing Address - Zip Code:98597-0476
Mailing Address - Country:US
Mailing Address - Phone:360-458-7777
Mailing Address - Fax:360-458-6198
Practice Address - Street 1:1315 YELM AVE W
Practice Address - Street 2:
Practice Address - City:YELM
Practice Address - State:WA
Practice Address - Zip Code:98597-9449
Practice Address - Country:US
Practice Address - Phone:360-458-7777
Practice Address - Fax:360-458-6198
Is Sole Proprietor?:No
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA612408532355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant