Provider Demographics
NPI:1508151465
Name:LAWSON, LEONIE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:LEONIE
Middle Name:
Last Name:LAWSON
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20801 VENTURA BLVD
Mailing Address - Street 2:T-0288
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-2319
Mailing Address - Country:US
Mailing Address - Phone:818-992-3386
Mailing Address - Fax:818-992-3386
Practice Address - Street 1:20801 VENTURA BLVD
Practice Address - Street 2:T-0288
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2319
Practice Address - Country:US
Practice Address - Phone:818-992-3386
Practice Address - Fax:818-992-3386
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-17
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55565183500000X
AZS013766183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist