Individual
SHADAE L LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(347) 759-6589
Mailing address
3959 BROADWAY, NEW YORK, NY 10032-1559
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F421797-01
NY
Other
Enumeration date
08/12/2025
Last updated
10/14/2025
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