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Individual

JENNIFER VICTORIA LAWSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
752 N MAIN ST, SPRINGBORO, OH 45066-8944
(937) 208-6865
(937) 208-6868
Mailing address
8701 OLD TROY PIKE, HUBER HEIGHTS, OH 45424-1066
(937) 233-7146

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.021074
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2565399
OH
05
3125746
OH
Enumeration date
07/10/2017
Last updated
07/21/2022
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