Provider Demographics
NPI:1144778432
Name:LAWSON, LINDA LOUISE
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:LOUISE
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 1:115 10TH AVE
Mailing Address - Street 2:APT 8
Mailing Address - City:SEASIDE
Mailing Address - State:OR
Mailing Address - Zip Code:97138-6237
Mailing Address - Country:US
Mailing Address - Phone:970-488-0983
Mailing Address - Fax:
Practice Address - Street 1:115 10TH AVE
Practice Address - Street 2:APT 8
Practice Address - City:SEASIDE
Practice Address - State:OR
Practice Address - Zip Code:97138-6237
Practice Address - Country:US
Practice Address - Phone:970-488-0983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-14
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist