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Individual

MARY AILEEN LAWSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
212 SE 8TH ST, GRANTS PASS, OR 97526-3016
(951) 235-7362
Mailing address
PO BOX 1379, MERLIN, OR 97532-1379
(951) 235-7362

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
201811473NP-PP
OR
363LA2100X
Acute Care Nurse Practitioner
NP95006870
CA

Other

Enumeration date
02/14/2018
Last updated
03/23/2025
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