Provider Demographics
NPI:1841528684
Name:LAWSON, ELISABETH MARTIN (MED CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:ELISABETH
Middle Name:MARTIN
Last Name:LAWSON
Suffix:
Gender:F
Credentials:MED CCC/SLP
Other - Prefix:MRS
Other - First Name:ELISABETH
Other - Middle Name:KATHRYN
Other - Last Name:LAWSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MED CCC/SLP
Mailing Address - Street 1:328 NEFF AVE.
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801
Mailing Address - Country:US
Mailing Address - Phone:540-437-4226
Mailing Address - Fax:540-437-4227
Practice Address - Street 1:328 NEFF AVE.
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801
Practice Address - Country:US
Practice Address - Phone:540-437-4226
Practice Address - Fax:540-437-4227
Is Sole Proprietor?:No
Enumeration Date:2009-12-04
Last Update Date:2009-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202005762235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist