Treakle, Lawrie Nicholson

Treakle, Lawrie Nicholson is an individual health care provider with primary practice located at 2100 W. Clinch Ave Ste 120 , Knoxville TN 37916-2219. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Treakle, Lawrie Nicholson can be contacted via phone (865) 637-7290.

Contact Information

Primary practice address
2100 W. Clinch Ave Ste 120 Knoxville TN 37916-2219
Phone: (865) 637-7290
Fax: (865) 637-7289
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 146011 Tennessee

Profile Details

NPI number 1295822997
LBN Legal business name Treakle, Lawrie Nicholson
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Feb 23rd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295822997 NPPES
South Dakota Other APN0000012083 ADVANCED PRACTICE NURSE

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