Provider Demographics
NPI:1962754911
Name:LAWSON, KARA RHEA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KARA
Middle Name:RHEA
Last Name:LAWSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 REPUBLIC AVE
Mailing Address - Street 2:APT 3104
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-6993
Mailing Address - Country:US
Mailing Address - Phone:865-456-6443
Mailing Address - Fax:
Practice Address - Street 1:1401 REES ST
Practice Address - Street 2:
Practice Address - City:BREAUX BRIDGE
Practice Address - State:LA
Practice Address - Zip Code:70517-4307
Practice Address - Country:US
Practice Address - Phone:337-507-3810
Practice Address - Fax:337-507-3816
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-15
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA019480183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist