Organization
LAWSON SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA A LAWSON QP (PROGRAM ADMINISTRATOR)
(336) 372-6083
Entity
Organization
Contact information
Practice address
723 MAIN STREET, NORTH WILKESBORO, NC 28659-4211
(336) 838-5575
(336) 838-5573
Mailing address
PO BOX 189, SPARTA, NC 28675-0189
(336) 372-6083
(336) 372-6087
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5904328
—
NC
Enumeration date
03/02/2007
Last updated
12/05/2008
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