Provider Demographics
NPI:1700488798
Name:LAWOO, ALISON (PA)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:LAWOO
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:21 S HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-6141
Mailing Address - Country:US
Mailing Address - Phone:631-901-3222
Mailing Address - Fax:
Practice Address - Street 1:21 S HOLLOW RD
Practice Address - Street 2:
Practice Address - City:DIX HILLS
Practice Address - State:NY
Practice Address - Zip Code:11746-6141
Practice Address - Country:US
Practice Address - Phone:631-901-3222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-13
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant