Provider Demographics
NPI:1912349879
Name:LAWS, TARA LYNN (AP)
Entity type:Individual
Prefix:MRS
First Name:TARA
Middle Name:LYNN
Last Name:LAWS
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:TARA
Other - Middle Name:
Other - Last Name:LAWS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AP 4641
Mailing Address - Street 1:4618 SW 63RD BLVD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-3880
Mailing Address - Country:US
Mailing Address - Phone:502-234-8348
Mailing Address - Fax:
Practice Address - Street 1:3700 NW 91ST ST STE B300
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-7352
Practice Address - Country:US
Practice Address - Phone:502-234-8348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-20
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4641171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4641OtherAP