Provider Demographics
NPI:1538940200
Name:WATSON-LAWSON, ERIKA BRYEAN (MSH, RDN, LDN)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:BRYEAN
Last Name:WATSON-LAWSON
Suffix:
Gender:F
Credentials:MSH, RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2308 LUANA DR E
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32246-9563
Mailing Address - Country:US
Mailing Address - Phone:904-476-8131
Mailing Address - Fax:
Practice Address - Street 1:2308 LUANA DR E
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32246-9563
Practice Address - Country:US
Practice Address - Phone:904-476-8131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND4733133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist