Provider Demographics
NPI:1184852253
Name:LAWSON, NATALIE (RD,LD)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:LAWSON
Suffix:
Gender:F
Credentials:RD,LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2509 BARRINGTON CIR STE 109
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-6801
Mailing Address - Country:US
Mailing Address - Phone:850-559-4379
Mailing Address - Fax:
Practice Address - Street 1:2509 BARRINGTON CIR STE 109
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-6801
Practice Address - Country:US
Practice Address - Phone:850-559-4379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-29
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND4444133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered