Individual
NICOLE LAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
6200 N LA CHOLLA BLVD, TUCSON, AZ 85741-3529
(520) 742-9000
Mailing address
8280 YANKEE ST, CENTERVILLE, OH 45458-1806
(937) 436-4658
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.003854
OH
363A00000X
Physician Assistant
Primary
5739
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0091173
—
OH
Enumeration date
09/12/2013
Last updated
04/12/2021
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