Provider Demographics
NPI:1679395537
Name:LAWRENCE, KAUI'LANI NICOLE
Entity type:Individual
Prefix:
First Name:KAUI'LANI
Middle Name:NICOLE
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KAUI'LANI
Other - Middle Name:NICOLE
Other - Last Name:FONTES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:26848 SANDERLING PL NE
Mailing Address - Street 2:
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-9100
Mailing Address - Country:US
Mailing Address - Phone:360-865-0350
Mailing Address - Fax:
Practice Address - Street 1:26848 SANDERLING PL NE
Practice Address - Street 2:
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-9100
Practice Address - Country:US
Practice Address - Phone:360-865-0350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-30
Last Update Date:2024-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula