Individual
LAWRENCE MATSON
Active
Individual
LAWRENCE MATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D
Taxonomy
Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
—
—
171WH0202X
Home Modifications Contractor
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
11/01/2014
Last updated
11/01/2014
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