Provider Demographics
NPI:1093153108
Name:LAWSON, LISA MARIE (LSW)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:MARIE
Last Name:LAWSON
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:383 W STATE ST
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08618-5705
Mailing Address - Country:US
Mailing Address - Phone:609-394-5181
Mailing Address - Fax:
Practice Address - Street 1:833 CASS ST
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08611
Practice Address - Country:US
Practice Address - Phone:609-306-0021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-11
Last Update Date:2018-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health