Individual
MRS. STACEY M. LAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2209 QUAIL CREEK DR, MURRAY, KY 42071-2728
(270) 753-7966
Mailing address
2209 QUAIL CREEK DR, MURRAY, KY 42071-2728
(270) 753-7966
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1185
INDEPENDENT PROVIDER
KY
Enumeration date
05/02/2007
Last updated
07/08/2007
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