Provider Demographics
NPI:1154637148
Name:LAWSON SUPPORT SERVICES
Entity Type:Organization
Organization Name:LAWSON SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:NORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-372-6083
Mailing Address - Street 1:PO BOX 189
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NC
Mailing Address - Zip Code:28675-0189
Mailing Address - Country:US
Mailing Address - Phone:336-372-6083
Mailing Address - Fax:336-372-6087
Practice Address - Street 1:124 W KAPP ST
Practice Address - Street 2:
Practice Address - City:DOBSON
Practice Address - State:NC
Practice Address - Zip Code:27017-8825
Practice Address - Country:US
Practice Address - Phone:336-356-2092
Practice Address - Fax:336-356-2090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health