Individual
KEONNA LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
CERT. MEDICAL ASST.
PA
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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