Provider Demographics
NPI:1801034798
Name:LAWSON, KIMBERLY ALDERMAN (LPN)
Entity Type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:ALDERMAN
Last Name:LAWSON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4838 WYATT BROOK WAY
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-5098
Mailing Address - Country:US
Mailing Address - Phone:336-813-0048
Mailing Address - Fax:
Practice Address - Street 1:4838 WYATT BROOK WAY
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-5098
Practice Address - Country:US
Practice Address - Phone:336-813-0048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-30
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC051388164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse