Provider Demographics
NPI:1093080442
Name:LAWSON, PATRICIA C (DMD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:C
Last Name:LAWSON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:CARA
Other - Middle Name:COLEMAN
Other - Last Name:LAWSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:1515 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29526-4107
Mailing Address - Country:US
Mailing Address - Phone:843-687-5044
Mailing Address - Fax:
Practice Address - Street 1:1515 9TH AVE
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:SC
Practice Address - Zip Code:29526-4107
Practice Address - Country:US
Practice Address - Phone:843-248-3843
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-19
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC82331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice