Individual
MS. BETTY JEAN LAWHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
944 AUGUSTA FARMS RD, STUARTS DRAFT, VA 24477-3201
(540) 941-1823
(540) 949-6907
Mailing address
944 AUGUSTA FARMS RD, STUARTS DRAFT, VA 24477-3201
(540) 941-1823
(540) 949-6907
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
0101533955
VA
251E00000X
Home Health Agency
0101533955
VA
251T00000X
PACE Provider Organization
Primary
0101533955
VA
302R00000X
Health Maintenance Organization
0101533955
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101533955
—
VA
05
—
1720641483
—
VA
Enumeration date
04/18/2019
Last updated
09/11/2019
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