Provider Demographics
NPI:1184809998
Name:LAWSON, ANN MARIE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:MARIE
Last Name:LAWSON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 HAACKE DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21620-1193
Mailing Address - Country:US
Mailing Address - Phone:410-778-0003
Mailing Address - Fax:410-778-4450
Practice Address - Street 1:250 HAACKE DR
Practice Address - Street 2:
Practice Address - City:CHESTERTOWN
Practice Address - State:MD
Practice Address - Zip Code:21620-1193
Practice Address - Country:US
Practice Address - Phone:410-778-0003
Practice Address - Fax:410-778-4450
Is Sole Proprietor?:No
Enumeration Date:2007-12-31
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0003664363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant