Active NPI
Rebecca K Lawrence, M.D.
- Obstetrics & Gynecology Physician
- Weston, WI
National Provider Identifier
1255426920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 26229
- Practice address
- 3301 Cranberry Blvd
Weston, WI 54476-5216 - Phone
- (715) 393-3900
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 26229 | WI | Primary |
Addresses
Primary practice location
3301 Cranberry Blvd
Weston, WI 54476-5216
Mailing address
3301 Cranberry Blvd
Weston, WI 54476-5216
Phone (715) 393-3900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30855200 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26229 | WI | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1255426920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 CRANBERRY BLVD",
"city": "WESTON",
"state": "WI",
"postal_code": "544765216",
"telephone_number": "715-393-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 CRANBERRY BLVD",
"city": "WESTON",
"state": "WI",
"postal_code": "544765216",
"telephone_number": "715-393-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE",
"first_name": "REBECCA",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WI",
"license": "26229",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30855200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Weston, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.