Provider Demographics
NPI:1629270889
Name:LAWSON, MARJORIE THOMAS (APRN, FNP)
Entity Type:Individual
Prefix:PROF
First Name:MARJORIE
Middle Name:THOMAS
Last Name:LAWSON
Suffix:
Gender:F
Credentials:APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WESTBROOK
Mailing Address - State:ME
Mailing Address - Zip Code:04092-2522
Mailing Address - Country:US
Mailing Address - Phone:207-854-1929
Mailing Address - Fax:
Practice Address - Street 1:96 FALMOUTH ST
Practice Address - Street 2:UNIVERSITY OF SOUTHERN MAINE
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04104-9300
Practice Address - Country:US
Practice Address - Phone:207-780-4211
Practice Address - Fax:207-780-4911
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER026988363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily