Provider Demographics
NPI:1083464382
Name:LAWSON, MARLO MARIE
Entity Type:Individual
Prefix:
First Name:MARLO
Middle Name:MARIE
Last Name:LAWSON
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 1:797 S JAMES RD APT 9
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43227-1056
Mailing Address - Country:US
Mailing Address - Phone:614-615-9397
Mailing Address - Fax:
Practice Address - Street 1:797 S JAMES RD APT 9
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43227-1056
Practice Address - Country:US
Practice Address - Phone:614-615-9397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant