Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 099.0098872 | VT |
NPI | 1013385087 |
---|---|
Provider Name | Tanya Lawson |
First Address | Bedford, NH 03110-6759 |
Second Address | Bedford, NH 03110-6759 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2015 |
Last Update Date | 09/09/2015 |