Individual
MS. VICKY LEA LAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICAN
Contact information
Practice address
1503 REV JT MENIFEE STREET, ANDERSON, IN 46016
(765) 644-2541
(765) 644-0608
Mailing address
119 BESS BLVD, PENDLETON, IN 46064-8804
(765) 644-2541
(765) 644-0608
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1392
OP
IN
Enumeration date
05/14/2008
Last updated
05/14/2008
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