Individual
LAVONNE DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
609 5TH AVE, FOSTORIA, OH 44830-2702
(419) 701-9591
Mailing address
609 5TH AVE, FOSTORIA, OH 44830-2702
(419) 701-9591
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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