Patricia B. Lawrence, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

209-000204 Issued in IL

Practice address

4709 Golf Rd Ste 900
Skokie, IL 60076

Phone

(847) 676-5394

Fax

(847) 679-7183

NPI assigned

May 10, 2007

Last updated

Apr 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1215141775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 GOLF RD STE 900",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761244",
            "telephone_number": "847-676-5394",
            "fax_number": "847-679-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 GOLF RD STE 900",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "60076",
            "telephone_number": "847-676-5394",
            "fax_number": "847-679-7183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4709 Golf Rd Ste 1250",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600761238",
            "country_code": "US",
            "telephone_number": "847-676-5394",
            "fax_number": "847-679-7183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "PATRICIA",
        "middle_name": "B.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2021-04-27",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209-000204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL STATE LIC",
            "identifier": "209-000204",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tfrank@kfpp.pcc-direct.com",
            "affiliation": "N",
            "address_1": "4709 Golf Rd Ste 900",
            "city": "Skokie",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lava Supply, Inc.
• Mary Alice Lavin, MSW, LCSW
• Anthonia N Lawrence
• Katherine E. Lawrence, MOT
• Mary Lawrence, FNP
• Patrick S. Lay, MD
• Alla Layman, PT
• Samantha Nichole Laystrom, PA-C
• Sheldon Lazar, M.D.
• Danielle Marie Leachman, PA-C

• Pediatric Nurse Practitioner in Skokie, IL
• Providers in Skokie, IL by specialty
• Pediatric Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.