Provider Demographics
NPI:1184137028
Name:LAWSON, ERIN TATE (MSN, BSN, RN, CN)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:TATE
Last Name:LAWSON
Suffix:
Gender:F
Credentials:MSN, BSN, RN, CN
Other - Prefix:MISS
Other - First Name:ERIN
Other - Middle Name:LEA
Other - Last Name:TATE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, BSN, RN, CN
Mailing Address - Street 1:3306 WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-6219
Mailing Address - Country:US
Mailing Address - Phone:336-380-9074
Mailing Address - Fax:
Practice Address - Street 1:3306 WILSON AVE
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-6219
Practice Address - Country:US
Practice Address - Phone:336-380-9074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-14
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001242605163W00000X
133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No163W00000XNursing Service ProvidersRegistered Nurse