Individual
LISA DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1309 BRIDGEVILLE HWY, SEAFORD, DE 19973-1616
(302) 629-2300
Mailing address
10616 ALLENS MILL RD, DELMAR, DE 19940-3532
(301) 481-4614
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L2-0013152
DE
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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