Provider Demographics
NPI:1932651668
Name:LAWSON, APRIL DIANE (MED, IECE)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:DIANE
Last Name:LAWSON
Suffix:
Gender:F
Credentials:MED, IECE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 HOWARD DR
Mailing Address - Street 2:
Mailing Address - City:PUTNEY
Mailing Address - State:KY
Mailing Address - Zip Code:40865-6913
Mailing Address - Country:US
Mailing Address - Phone:606-273-9366
Mailing Address - Fax:
Practice Address - Street 1:22 HOWARD DR
Practice Address - Street 2:
Practice Address - City:PUTNEY
Practice Address - State:KY
Practice Address - Zip Code:40865-6913
Practice Address - Country:US
Practice Address - Phone:606-273-9366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-28
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY000080137174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist