Individual
RYAN LAWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1212 HAYWOOD RD STE 600, GREENVILLE, SC 29615-4965
(864) 234-7700
Mailing address
1212 HAYWOOD RD STE 600, GREENVILLE, SC 29615-4965
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2274
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2274
SC DEPARTMENT OF LABOR, LICENSING AND REGULATION
SC
Enumeration date
06/04/2021
Last updated
06/07/2021
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