Provider Demographics
NPI:1801699558
Name:LAWSON, RONNIE
Entity type:Individual
Prefix:
First Name:RONNIE
Middle Name:
Last Name:LAWSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:339 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:VINITA
Mailing Address - State:OK
Mailing Address - Zip Code:74301-4637
Mailing Address - Country:US
Mailing Address - Phone:918-418-6485
Mailing Address - Fax:
Practice Address - Street 1:339 SUNSET DR
Practice Address - Street 2:
Practice Address - City:VINITA
Practice Address - State:OK
Practice Address - Zip Code:74301-4637
Practice Address - Country:US
Practice Address - Phone:918-418-6485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator