Provider Demographics
NPI:1083655070
Name:LAWSON, LEEANN (ARNP)
Entity Type:Individual
Prefix:MS
First Name:LEEANN
Middle Name:
Last Name:LAWSON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:LEEANN
Other - Middle Name:PASSEROTTI
Other - Last Name:LAWSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 918025
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32891-8025
Mailing Address - Country:US
Mailing Address - Phone:352-392-6431
Mailing Address - Fax:352-392-0547
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-3003
Practice Address - Country:US
Practice Address - Phone:352-392-6431
Practice Address - Fax:352-392-0547
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3322212363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics