Provider Demographics
NPI:1659860203
Name:LAWSON, ANGELA DENISE
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:DENISE
Last Name:LAWSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8670 W CHEYENNE AVE STE 135
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-7460
Mailing Address - Country:US
Mailing Address - Phone:702-822-2600
Mailing Address - Fax:
Practice Address - Street 1:1468 CUBLINGTON CT UNIT 2
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1573
Practice Address - Country:US
Practice Address - Phone:702-443-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-08
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant