Provider Demographics
NPI:1639482730
Name:LAWSON, DARLENE (RPH)
Entity Type:Individual
Prefix:MS
First Name:DARLENE
Middle Name:
Last Name:LAWSON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24285 FAIRMOUNT BLVD
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-2232
Mailing Address - Country:US
Mailing Address - Phone:216-647-8353
Mailing Address - Fax:
Practice Address - Street 1:7530 LUCERNE DR
Practice Address - Street 2:SUITE 208
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44130-6587
Practice Address - Country:US
Practice Address - Phone:440-243-6363
Practice Address - Fax:440-243-9117
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-17
Last Update Date:2010-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRPH.03221536183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist