Provider Demographics
NPI:1013265263
Name:LENORE LAWSON, D.C., F.I.A.M.A., P.C.
Entity Type:Organization
Organization Name:LENORE LAWSON, D.C., F.I.A.M.A., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LENORE
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:970-842-5500
Mailing Address - Street 1:PO BOX 1
Mailing Address - Street 2:
Mailing Address - City:BRUSH
Mailing Address - State:CO
Mailing Address - Zip Code:80723-0001
Mailing Address - Country:US
Mailing Address - Phone:970-842-5500
Mailing Address - Fax:970-842-3772
Practice Address - Street 1:220 EDISON ST
Practice Address - Street 2:
Practice Address - City:BRUSH
Practice Address - State:CO
Practice Address - Zip Code:80723-2516
Practice Address - Country:US
Practice Address - Phone:970-842-5500
Practice Address - Fax:970-842-3772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-20
Last Update Date:2012-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3794111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC28913Medicare PIN