Provider Demographics
NPI:1033419403
Name:LAWSON, CONSTANCE JOY
Entity type:Individual
Prefix:MRS
First Name:CONSTANCE
Middle Name:JOY
Last Name:LAWSON
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:CONNIE
Other - Middle Name:JOY
Other - Last Name:LAWSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9761 HEFNER VILLAGE BLVD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73162-7763
Mailing Address - Country:US
Mailing Address - Phone:405-996-8345
Mailing Address - Fax:
Practice Address - Street 1:9761 HEFNER VILLAGE BLVD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73162-7763
Practice Address - Country:US
Practice Address - Phone:405-996-8345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program