Individual
MS. CONNIE JEAN LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
34101 FARENHOLT AVE BLDG 14, SAN DIEGO, CA 92134-7000
(619) 532-5135
Mailing address
7940 UNIVERSITY AVE UNIT 19, LA MESA, CA 91941-5040
(805) 509-6458
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/12/2007
Last updated
07/08/2007
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