Provider Demographics
NPI:1467668004
Name:LAWSON, JOANNA M (EDS, LMFT)
Entity Type:Individual
Prefix:MS
First Name:JOANNA
Middle Name:M
Last Name:LAWSON
Suffix:
Gender:F
Credentials:EDS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 E WASHINGTON ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-1842
Mailing Address - Country:US
Mailing Address - Phone:319-354-6238
Mailing Address - Fax:319-354-6238
Practice Address - Street 1:505 E WASHINGTON ST
Practice Address - Street 2:SUITE 201
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-1842
Practice Address - Country:US
Practice Address - Phone:319-354-6238
Practice Address - Fax:319-354-6238
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00179106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA29239OtherWELLMARK BCBS NUMBER