| Amy Lawson Pllc | |
|
2311 E Stadium Blvd Ste 202-2 Ann Arbor MI 48104-4833 | |
| (734) 221-0158 | |
| Not Available |
| Full Name | Amy Lawson Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2311 E Stadium Blvd Ste 202-2, Ann Arbor, Michigan |
| Authorized Official Name and Position | Amy Lawson (DIRECTOR) |
| Authorized Official Contact | 7342210158 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Lawson Pllc 2311 E Stadium Blvd Ste 202-2 Ann Arbor MI 48104-4833 Ph: () - | Amy Lawson Pllc 2311 E Stadium Blvd Ste 202-2 Ann Arbor MI 48104-4833 Ph: (734) 221-0158 |
| NPI Number | 1356992960 |
|---|---|
| Provider Enumeration Date | 09/25/2019 |
| Last Update Date | 09/25/2019 |
| Medicare PECOS PAC ID | 5890130454 |
|---|---|
| Medicare Enrollment ID | O20240305002881 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356992960 | NPI | - | NPPES |
| 1790952083 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amy Lawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790952083 PECOS PAC ID: 7517254956 Enrollment ID: I20160928001287 |
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