Individual
JORDAN LEE LAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 DONAGHEY AVE, CONWAY, AR 72035-5001
(870) 329-7351
Mailing address
2275 MOIX BLVD APT 33305, CONWAY, AR 72034-7093
(870) 329-7351
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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