Provider Demographics
NPI:1013426311
Name:LAWSON, LOLA VICKEY (CNA)
Entity Type:Individual
Prefix:MS
First Name:LOLA
Middle Name:VICKEY
Last Name:LAWSON
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 THEOPHILOUS TRCE
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-8598
Mailing Address - Country:US
Mailing Address - Phone:910-382-7604
Mailing Address - Fax:
Practice Address - Street 1:104 THEOPHILOUS TRCE
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-8598
Practice Address - Country:US
Practice Address - Phone:910-382-7604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health