Provider Demographics
NPI:1740595909
Name:LAWSON, FREDA KAY (CNP)
Entity Type:Individual
Prefix:MS
First Name:FREDA
Middle Name:KAY
Last Name:LAWSON
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 INDIAN RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:PIKETON
Mailing Address - State:OH
Mailing Address - Zip Code:45661-9809
Mailing Address - Country:US
Mailing Address - Phone:740-947-6480
Mailing Address - Fax:
Practice Address - Street 1:204 BIRCH ST
Practice Address - Street 2:
Practice Address - City:PIKETON
Practice Address - State:OH
Practice Address - Zip Code:45661-9762
Practice Address - Country:US
Practice Address - Phone:740-464-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-12
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCNP11691207Q00000X
OHCOA 11691-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine