Doctor Name: | MRS. LALIE LAWHON |
NPI Number: | 1063616902 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | RN 9251843 |
Business Practice Address: | 48 Oak St Crawfordville, FL - 323272085 |
Business Phone Number: | 8509263591 |
Business Fax Number: | 8509261938 |
Mailing Address: | 576 Persimmon Rd, SOPCHOPPY |
State: | FL |
Postal Code: | 323580861 |
Phone Number: | 8509626166 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | RN 9251843 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |