Provider Demographics
NPI:1235813825
Name:LAWSON, BEVERLY JOYCE
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:JOYCE
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 1:297 E 270TH ST
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44132-1601
Mailing Address - Country:US
Mailing Address - Phone:216-894-1914
Mailing Address - Fax:
Practice Address - Street 1:297 E 270TH ST
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44132-1601
Practice Address - Country:US
Practice Address - Phone:216-894-1914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health