Individual
ELLYN MARIE HARPER LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3615 BRAMBLETON AVE, ROANOKE, VA 24018-3611
(540) 772-9373
Mailing address
7212 GRAPE HOLLY LN, ROANOKE, VA 24018-5927
(304) 290-4332
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401417155
VA
1223G0001X
General Practice Dentistry
4483
WV
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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