Provider Demographics
NPI:1780610733
Name:LAWSON, HELEN (CNM)
Entity type:Individual
Prefix:MS
First Name:HELEN
Middle Name:
Last Name:LAWSON
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 DEMAREST PKWY
Mailing Address - Street 2:
Mailing Address - City:ELMIRA
Mailing Address - State:NY
Mailing Address - Zip Code:14905-2014
Mailing Address - Country:US
Mailing Address - Phone:607-734-5878
Mailing Address - Fax:
Practice Address - Street 1:1005 WALNUT ST
Practice Address - Street 2:
Practice Address - City:ELMIRA
Practice Address - State:NY
Practice Address - Zip Code:14901-1007
Practice Address - Country:US
Practice Address - Phone:607-734-3968
Practice Address - Fax:607-734-4554
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF000722-1176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01821416Medicaid
NYCC6911Medicare ID - Type Unspecified
NYP35208Medicare UPIN