Individual
BONITA MARIE LAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
351 CARTER LN, TAZEWELL, TN 37879-5087
(423) 526-7630
Mailing address
351 CARTER LN, TAZEWELL, TN 37879-5087
(423) 526-7630
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23056
TN
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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