Individual
KEELON ANDRE LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5369 WHITE DIAMOND ST, MEMPHIS, TN 38109-6362
(901) 406-9647
Mailing address
5369 WHITE DIAMOND ST, MEMPHIS, TN 38109-6362
(901) 406-9647
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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