Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 174980 | MA |
NPI | 1003258658 |
---|---|
Provider Name | Caren A. Lawson |
First Address | Dedham, MA 02026-5599 |
Second Address | Dedham, MA 02026-5599 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2013 |
Last Update Date | 24/07/2013 |