Provider Demographics
NPI:1275847386
Name:LAWSON, LISA M (MS, LPA)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:M
Last Name:LAWSON
Suffix:
Gender:F
Credentials:MS, LPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7801 E 130TH AVE
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99516-3332
Mailing Address - Country:US
Mailing Address - Phone:907-980-8162
Mailing Address - Fax:
Practice Address - Street 1:1317 W NORTHERN LIGHTS BLVD
Practice Address - Street 2:SUITE 16
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-2399
Practice Address - Country:US
Practice Address - Phone:907-980-8162
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-30
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK605101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional