Individual
KEISHA LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15320 MAIN ST, LYTLE, TX 78052-3550
(830) 709-5777
Mailing address
333 1ST ST N, SUITE 200, JACKSONVILLE BEACH, FL 32250-6945
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
2070862
TX
172V00000X
Community Health Worker
PTA 2186
AR
Other
Enumeration date
06/26/2009
Last updated
06/26/2009
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