Provider Demographics
NPI:1285821652
Name:LAWSON, KAYE MARIE (OTR/L, MED)
Entity Type:Individual
Prefix:MS
First Name:KAYE
Middle Name:MARIE
Last Name:LAWSON
Suffix:
Gender:F
Credentials:OTR/L, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1461
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:AK
Mailing Address - Zip Code:99672-1461
Mailing Address - Country:US
Mailing Address - Phone:907-260-6170
Mailing Address - Fax:
Practice Address - Street 1:37365 FOC'SLE DRIVE
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:AK
Practice Address - Zip Code:99672
Practice Address - Country:US
Practice Address - Phone:907-260-6170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK376174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist