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Individual

DELISA LAWSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1114 MILL ST, CAMDEN, SC 29020-3712
(803) 787-6911
(704) 333-4429
Mailing address
3707 LATROBE DR STE 430, CHARLOTTE, NC 28211-1361
(704) 375-2587
(704) 333-4429

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CO005544
NC
224P00000X
Prosthetist
Primary
CPO03842
NC

Other

Enumeration date
10/26/2015
Last updated
06/21/2022
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