Provider Demographics
NPI:1821571019
Name:LAWSON, SARAH FAYE (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:FAYE
Last Name:LAWSON
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5322 N 52ND ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-2279
Mailing Address - Country:US
Mailing Address - Phone:402-457-5117
Mailing Address - Fax:402-457-5109
Practice Address - Street 1:5322 N 52ND ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68104-2279
Practice Address - Country:US
Practice Address - Phone:402-457-5117
Practice Address - Fax:402-457-5109
Is Sole Proprietor?:No
Enumeration Date:2018-09-13
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE68373163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool