Individual
JENNIFER CLARK LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2055 N MAIN ST, TOOELE, UT 84074-9819
(509) 474-3131
Mailing address
2055 N MAIN ST, TOOELE, UT 84074-9819
(435) 843-3600
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
220495-4406
UT
367500000X
Certified Registered Nurse Anesthetist
AP60028754
WA
367500000X
Certified Registered Nurse Anesthetist
RN00154759
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220495-4406
UTAH STATE LICENSE
UT
01
—
AP60028754
WASHINGTON STATE LIC
WA
Enumeration date
07/02/2008
Last updated
08/28/2024
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