Provider Demographics
NPI:1992159768
Name:LAWS, JUDITH ANN MARIE (LPN)
Entity type:Individual
Prefix:MISS
First Name:JUDITH
Middle Name:ANN MARIE
Last Name:LAWS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 FISHER AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10606-2355
Mailing Address - Country:US
Mailing Address - Phone:914-997-2343
Mailing Address - Fax:
Practice Address - Street 1:199 FISHER AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10606-2355
Practice Address - Country:US
Practice Address - Phone:914-997-2343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-19
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY281508-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse