Organization
LAWSON FAMILY MEDICINE AND AESTHETICS LLC
Active
Other names
LAWSON FAMILY MEDICINE & AESTHETICS
Organization subpart
No
Provider details
NPI number
Authorized official
LIANNA R LAWSON D.O. (SOLE MEMBER/PHYSICIAN)
(540) 992-3600
Entity
Organization
Contact information
Practice address
1454 ROANOKE RD, DALEVILLE, VA 24083
(540) 992-3600
(540) 992-5570
Mailing address
PO BOX 429, DALEVILLE, VA 24083-0429
(540) 992-3600
(540) 992-5570
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102050181
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00W770L96
MEDICARE ID-TYPE UNSPECIFIED
VA
05
—
010299004
—
VA
01
—
P00276997
MEDICARE RAILROAD
—
Enumeration date
09/30/2009
Last updated
09/30/2009
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