Individual
MATTHEW BLAKE LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2120 S ROAN ST, JOHNSON CITY, TN 37601-7675
(423) 979-0373
Mailing address
1507 LINDEN AVE APT 17, JOHNSON CITY, TN 37601-7379
(606) 335-9090
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46604
TN
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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