Most Relevant Information
Provider Data
NPI Number: | 1003403031 |
Provider Name: | KAMIYLAH LAWSON |
Entity Type: | Individual |
Taxonomy Code: | 363LP0808X |
Specialty: | Nurse Practitioner |
License Number: | R213549 |
Most Important Dates
Enumeration Date: | 12/23/2020 |
Last Updated: | 04/12/2021 |
Provider Practice Location
6501 N CHARLES ST
TOWSON
MD
212046819
Practice Location Phone/Fax
Phone: | 4109383000 |
Fax: |
Provider Mailing Location
1801 COBOURG CT APT A1
PARKVILLE
MD
212349128
Provider Mailing Phone/Fax
Phone: | 4438396584 |
Fax: |