Provider Demographics
NPI:1720141401
Name:LAWSON, MARGARET JANE (FNP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:JANE
Last Name:LAWSON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5440 ISHI PISHI
Mailing Address - Street 2:
Mailing Address - City:SOMES BAR
Mailing Address - State:CA
Mailing Address - Zip Code:95568
Mailing Address - Country:US
Mailing Address - Phone:530-469-3464
Mailing Address - Fax:
Practice Address - Street 1:1600 WEEOT WAY
Practice Address - Street 2:
Practice Address - City:ARCATA
Practice Address - State:CA
Practice Address - Zip Code:95521-4734
Practice Address - Country:US
Practice Address - Phone:707-825-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9923363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily