Individual
TABATHA LAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1109 CARMADELLE ST, MARRERO, LA 70072-2655
(504) 405-9997
(504) 340-3348
Mailing address
1109 CARMADELLE ST, MARRERO, LA 70072-2655
(504) 405-9997
(504) 340-3348
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
005859436
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81-1317150
FEDERAL TAX
LA
Enumeration date
06/14/2016
Last updated
06/14/2016
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