Individual
CONSTANCE LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
338 BLANCO DR, MASTIC BEACH, NY 11951-1021
(631) 874-1417
(631) 874-1411
Mailing address
338 BLANCO DR, MASTIC BEACH, NY 11951-1021
(631) 874-1417
(631) 874-1411
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
445646
NY
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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