Individual
MRS. AMANDA CHRISTINE LAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
249 ORCHARD ST, FAIRPORT HARBOR, OH 44077-5534
(440) 350-6232
Mailing address
249 ORCHARD STREET, FAIRPORT HARBOR, OH 44077
(440) 350-6232
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN115219
OH
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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