Individual
JONATHAN RAY LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
275 PRESTONSBURG ST, WEST LIBERTY, KY 41472-1135
(606) 743-3425
(606) 743-1936
Mailing address
2327 HIGHWAY 3345, EZEL, KY 41425-8967
(606) 359-1967
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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