Provider Demographics
NPI:1922169242
Name:LAWSON, DONNA LYNN
Entity Type:Individual
Prefix:MISS
First Name:DONNA
Middle Name:LYNN
Last Name:LAWSON
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:DONNA
Other - Middle Name:LYNN
Other - Last Name:CONNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2313 PEPPERTREE WAY APT 3
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-3335
Mailing Address - Country:US
Mailing Address - Phone:925-354-5406
Mailing Address - Fax:925-431-2644
Practice Address - Street 1:2311 LOVERIDGE RD FL 2
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565-5117
Practice Address - Country:US
Practice Address - Phone:925-431-2619
Practice Address - Fax:925-431-2644
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health