Individual
JONATHAN LAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
344 E 100 S STE 301, SALT LAKE CITY, UT 84111-1727
(801) 322-4257
Mailing address
406 UNIVERSITY VLG, SALT LAKE CITY, UT 84108-3415
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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