Provider Demographics
NPI:1508120635
Name:LAWSON, JAMES LEE (PHD, RN-BC, APRNBMHA)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:LEE
Last Name:LAWSON
Suffix:
Gender:M
Credentials:PHD, RN-BC, APRNBMHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1444 YOSEMITE DR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90041-2809
Mailing Address - Country:US
Mailing Address - Phone:323-854-0178
Mailing Address - Fax:323-999-7425
Practice Address - Street 1:1444 YOSEMITE DR
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90041-2809
Practice Address - Country:US
Practice Address - Phone:323-854-0178
Practice Address - Fax:323-999-7425
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-03
Last Update Date:2016-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA270205133NN1002X, 163WA2000X, 163WC0400X, 163WE0003X, 163WG0000X, 163WH0200X, 163WN1003X, 163WP1700X, 163WP2201X, 174H00000X, 364SH1100X, 163WH1000X, 364SH1100X
CA0278036-03364SP0809X, 364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WE0003XNursing Service ProvidersRegistered NurseEmergency
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WN1003XNursing Service ProvidersRegistered NurseNutrition Support
No163WP1700XNursing Service ProvidersRegistered NursePerinatal
No163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care
No174H00000XOther Service ProvidersHealth Educator
No364SH1100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHolistic
No163WH1000XNursing Service ProvidersRegistered NurseHospice