Provider Demographics
NPI:1902035827
Name:LAWSON SAINT HILL, JEAN MARGARET I
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:MARGARET
Last Name:LAWSON SAINT HILL
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 N SAN DIMAS CANYON RD
Mailing Address - Street 2:UNIT#40
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773-2741
Mailing Address - Country:US
Mailing Address - Phone:209-620-1653
Mailing Address - Fax:
Practice Address - Street 1:4626 N GRAND AVE
Practice Address - Street 2:SUITE D
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91724-2055
Practice Address - Country:US
Practice Address - Phone:209-620-1653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-13
Last Update Date:2009-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner