Provider Demographics
NPI:1801002563
Name:LAWSON, DORIS C (CRNP)
Entity Type:Individual
Prefix:
First Name:DORIS
Middle Name:C
Last Name:LAWSON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:DORIS
Other - Middle Name:
Other - Last Name:LAWSON-GREEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-339-3105
Mailing Address - Fax:717-798-3670
Practice Address - Street 1:450 S WASHINGTON ST STE A
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-2500
Practice Address - Country:US
Practice Address - Phone:717-339-3105
Practice Address - Fax:717-798-3670
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP009415363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102377882Medicaid
PA114091Medicare PIN
PAP01457263Medicare PIN
PA114091FLTMedicare PIN