Individual
MRS. EILEEN I LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
310 HIGH SCHOOL ROAD, ST. MARY'S, AK 99658
(907) 438-3517
Mailing address
9474 HWY 111, ANACOCO, LA 71403-4423
(910) 309-7325
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103088
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P18033
—
NC
Enumeration date
10/20/2005
Last updated
07/21/2022
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