Individual
RYAN LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
125 MAIN ST, NOEL, MO 64854-9124
(417) 475-6151
(417) 475-6559
Mailing address
66691 E 280 RD, GROVE, OK 74344-6279
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
201929
OK
363LF0000X
Family Nurse Practitioner
Primary
2021025113
MO
Other
Enumeration date
05/05/2021
Last updated
08/11/2022
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