Provider Demographics
NPI:1235849670
Name:LAWSON, RACHEL MARIA (PA)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:MARIA
Last Name:LAWSON
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:MARIA
Other - Last Name:KOLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:5153 MINUTEMAN DR UNIT A
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-7721
Mailing Address - Country:US
Mailing Address - Phone:702-374-7518
Mailing Address - Fax:
Practice Address - Street 1:5153 MINUTEMAN DR UNIT A
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-7721
Practice Address - Country:US
Practice Address - Phone:702-374-7518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant