Individual
COREY DANYALL LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 W KING ST, KINSTON, NC 28501-4830
(252) 643-2363
(252) 582-6020
Mailing address
PO BOX 1282, KINSTON, NC 28503-1282
(252) 327-0982
(252) 582-6020
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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