Provider Demographics
NPI:1184893943
Name:LAWSON, DONNA NAOMI (APRN)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:NAOMI
Last Name:LAWSON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3025 SHRINE RD
Mailing Address - Street 2:SUITE 280
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520-4784
Mailing Address - Country:US
Mailing Address - Phone:912-466-7310
Mailing Address - Fax:912-466-7323
Practice Address - Street 1:3025 SHRINE RD
Practice Address - Street 2:SUITE 280
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-4784
Practice Address - Country:US
Practice Address - Phone:912-466-7310
Practice Address - Fax:912-466-7323
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-26
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN146311363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health