Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1326469636 |
---|---|
Provider Name | Jamika I Lawson |
First Address | Lancaster, CA 93534-2709 |
Second Address | Lancaster, CA 93534-2709 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2014 |
Last Update Date | 14/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1326469636 | MEDI-CAL (01) | CA |