Provider Demographics
NPI:1326489618
Name:LAWDON, ABBE LYNN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ABBE
Middle Name:LYNN
Last Name:LAWDON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 EMILY DR
Mailing Address - Street 2:
Mailing Address - City:HOHENWALD
Mailing Address - State:TN
Mailing Address - Zip Code:38462-1237
Mailing Address - Country:US
Mailing Address - Phone:931-212-7235
Mailing Address - Fax:
Practice Address - Street 1:111 EMILY DR
Practice Address - Street 2:
Practice Address - City:HOHENWALD
Practice Address - State:TN
Practice Address - Zip Code:38462-1237
Practice Address - Country:US
Practice Address - Phone:931-212-7235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-15
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11621183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN11621OtherSTATE OF TENNESSEE LICENSE