Individual
RICKEY LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045-0600
(866) 976-5941
Mailing address
PO BOX 600, TUBA CITY, AZ 86045-0600
(866) 976-5941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3148
OK
Other
Enumeration date
05/31/2022
Last updated
06/07/2022
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