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Individual

NICOLE LAWSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
PO BOX 40491, AUSTIN, TX 78704-0009
(585) 698-6963
Mailing address
PO BOX 40491, AUSTIN, TX 78704-0009
(585) 698-6963

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1141204
TX
163W00000X
Registered Nurse
711640
NY
363L00000X
Nurse Practitioner
Primary
1141204
TX
363L00000X
Nurse Practitioner
353111
NY

Other

Enumeration date
05/31/2024
Last updated
05/31/2024
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