Provider Demographics
NPI:1386632453
Name:LAWSON, TRAVIS LYNN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TRAVIS
Middle Name:LYNN
Last Name:LAWSON
Suffix:
Gender:M
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:PO BOX 220
Mailing Address - Street 2:
Mailing Address - City:ROSE HILL
Mailing Address - State:VA
Mailing Address - Zip Code:24281-0220
Mailing Address - Country:US
Mailing Address - Phone:276-445-5026
Mailing Address - Fax:276-445-5029
Practice Address - Street 1:MAIN ST, OLD HWY 58
Practice Address - Street 2:
Practice Address - City:ROSE HILL
Practice Address - State:VA
Practice Address - Zip Code:24281-0220
Practice Address - Country:US
Practice Address - Phone:276-445-5026
Practice Address - Fax:276-445-5029
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202205628183500000X
KY012217183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist