Organization
LAWSON SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA A LAWSON QP (PROGRAM ADMINISTRATOR)
(336) 372-6083
Entity
Organization
Contact information
Practice address
85 WILLIS STREET, SPARTA, NC 28675-0085
(336) 372-6083
(336) 372-6087
Mailing address
PO BOX 189, SPARTA, NC 28675-0189
(336) 372-6083
(336) 372-6087
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
HC2999
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6601282
—
NC
Enumeration date
03/02/2007
Last updated
08/22/2020
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