Individual
MR. TIMOTHY WAYNE LAWSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRSS
Contact information
Practice address
120 HARPER CT, BECKLEY, WV 25801-2650
(681) 238-6101
Mailing address
120 HARPER CT, BECKLEY, WV 25801-2650
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H1500687801
—
WV
Enumeration date
03/06/2023
Last updated
03/06/2023
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