Provider Demographics
NPI:1851937676
Name:LAWTON, ELIZABETH (BA, MADAC II)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:LAWTON
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Gender:F
Credentials:BA, MADAC II
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Mailing Address - Street 1:ELIZABETH LAWTON
Mailing Address - Street 2:4220 NORTH GRAND BOULEVARD
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63107
Mailing Address - Country:US
Mailing Address - Phone:314-534-6624
Mailing Address - Fax:
Practice Address - Street 1:ELIZABETH LAWTON
Practice Address - Street 2:4220 NORTH GRAND BOULEVARD
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63107
Practice Address - Country:US
Practice Address - Phone:314-534-6624
Practice Address - Fax:314-535-4394
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-27
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)