Provider Demographics
NPI:1356729701
Name:LAWSON, KRISTIE LASHAWN (FNP)
Entity type:Individual
Prefix:MRS
First Name:KRISTIE
Middle Name:LASHAWN
Last Name:LAWSON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 HUMMINGBIRD RD
Mailing Address - Street 2:
Mailing Address - City:ABBEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31001-4714
Mailing Address - Country:US
Mailing Address - Phone:229-467-9720
Mailing Address - Fax:
Practice Address - Street 1:1412 PLUNKET RD
Practice Address - Street 2:
Practice Address - City:UNADILLA
Practice Address - State:GA
Practice Address - Zip Code:31091-5600
Practice Address - Country:US
Practice Address - Phone:478-627-2126
Practice Address - Fax:478-627-9427
Is Sole Proprietor?:No
Enumeration Date:2015-05-18
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN141266363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily