Provider Demographics
NPI:1144071911
Name:TRAWICK, RENEE LYNNE
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:LYNNE
Last Name:TRAWICK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7660 SHARP LN
Mailing Address - Street 2:
Mailing Address - City:LAWSON
Mailing Address - State:MO
Mailing Address - Zip Code:64062-6236
Mailing Address - Country:US
Mailing Address - Phone:816-916-6588
Mailing Address - Fax:
Practice Address - Street 1:7660 SHARP LN
Practice Address - Street 2:
Practice Address - City:LAWSON
Practice Address - State:MO
Practice Address - Zip Code:64062-6236
Practice Address - Country:US
Practice Address - Phone:816-916-6588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider