Individual
MR. KOUDAHIN LATEVI LAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1840 AMHERST ST, WINCHESTER, VA 22601-2808
(540) 536-8875
Mailing address
121 CALEDON CT, 2, STEPHENS CITY, VA 22655-3542
(704) 241-9441
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
0001240679
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024170381
VA
Other
Enumeration date
10/22/2012
Last updated
04/30/2026
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