Most Relevant Information
Provider Data
NPI Number: | 1003465204 |
Provider Name: | ROSALYN LAWSON |
Entity Type: | Individual |
Taxonomy Code: | 164W00000X |
Specialty: | Licensed Practical Nurse |
License Number: | 122034 |
Most Important Dates
Enumeration Date: | 09/10/2019 |
Last Updated: | 09/10/2019 |
Provider Practice Location
605 COURTLAND AVE
ODESSA
TX
797634045
Practice Location Phone/Fax
Phone: | 8709492070 |
Fax: |
Provider Mailing Location
605 COURTLAND AVE
ODESSA
TX
797634045
Provider Mailing Phone/Fax
Phone: | |
Fax: |