Individual
DR. TRACI ANN LAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
380 W WOODROW WILSON AVE, JACKSON, MS 39213-7657
(601) 713-1130
Mailing address
380 W WOODROW WILSON AVE, JACKSON, MS 39213-7657
(601) 713-1130
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-13031
MS
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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