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Individual

MESSAN LAWSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
149 FLORENCE ST, MANCHESTER, CT 06040-5407
(857) 891-2409
Mailing address
149 FLORENCE ST, MANCHESTER, CT 06040-5407

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
139890
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2020038282
CT

Other

Enumeration date
11/11/2019
Last updated
09/16/2020
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