Provider Demographics
NPI:1912402454
Name:SUNSHINE DOCTORS
Entity Type:Organization
Organization Name:SUNSHINE DOCTORS
Other - Org Name:LAWSON FAMILY MEDICINE AND AESTHETICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:LIANNA
Authorized Official - Middle Name:R
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:540-992-3600
Mailing Address - Street 1:PO BOX 429
Mailing Address - Street 2:
Mailing Address - City:DALEVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24083
Mailing Address - Country:US
Mailing Address - Phone:540-992-3600
Mailing Address - Fax:540-992-5570
Practice Address - Street 1:1454 ROANOKE RD
Practice Address - Street 2:
Practice Address - City:DALEVILLE
Practice Address - State:VA
Practice Address - Zip Code:24083
Practice Address - Country:US
Practice Address - Phone:540-992-3600
Practice Address - Fax:540-992-5570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-27
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102050181207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty