Provider Demographics
NPI:1154077709
Name:LAWSON, CHELSEY GRAY
Entity Type:Individual
Prefix:
First Name:CHELSEY
Middle Name:GRAY
Last Name:LAWSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHELSEY
Other - Middle Name:PAIGE
Other - Last Name:GRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 26492
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80936-6492
Mailing Address - Country:US
Mailing Address - Phone:719-256-0192
Mailing Address - Fax:
Practice Address - Street 1:4735 WALKING HORSE PT
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80923-1108
Practice Address - Country:US
Practice Address - Phone:307-214-2346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-22
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)