Provider Demographics
NPI:1609912955
Name:LAWTON, AMY BETH (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:BETH
Last Name:LAWTON
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 1:80 RED OAK DR.
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06374
Mailing Address - Country:US
Mailing Address - Phone:860-564-4588
Mailing Address - Fax:
Practice Address - Street 1:171 PROVIDENCE ST
Practice Address - Street 2:
Practice Address - City:PUTNAM
Practice Address - State:CT
Practice Address - Zip Code:06260-1511
Practice Address - Country:US
Practice Address - Phone:860-928-4065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT10253183500000X
RIRPH04393183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist