Provider Demographics
NPI:1083473862
Name:LAWSON, MARQUITA NICOLE
Entity Type:Individual
Prefix:
First Name:MARQUITA
Middle Name:NICOLE
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 1:1408 IVERSON ST APT 201
Mailing Address - Street 2:
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-3906
Mailing Address - Country:US
Mailing Address - Phone:240-305-3342
Mailing Address - Fax:
Practice Address - Street 1:4219 4TH ST SE
Practice Address - Street 2:APT #7
Practice Address - City:WASHINGTON DC
Practice Address - State:DC
Practice Address - Zip Code:20032
Practice Address - Country:US
Practice Address - Phone:202-549-8378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-15
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant