Provider Demographics
NPI:1821205238
Name:LAWSON, CONSTANCE ELAINE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:CONSTANCE
Middle Name:ELAINE
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 1:20271 DELAWARE DR
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-2330
Mailing Address - Country:US
Mailing Address - Phone:216-692-0345
Mailing Address - Fax:
Practice Address - Street 1:12510 BELDEN AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-2629
Practice Address - Country:US
Practice Address - Phone:216-252-7890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN080408164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse