| Lawson Family Medicine And Aesthetics Llc | |
|
1454 Roanoke Rd Daleville VA 24083 | |
| (540) 992-3600 | |
| (540) 992-5570 |
| Full Name | Lawson Family Medicine And Aesthetics Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1454 Roanoke Rd, Daleville, Virginia |
| Authorized Official Name and Position | Lianna R Lawson (SOLE MEMBER/PHYSICIAN) |
| Authorized Official Contact | 5409923600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawson Family Medicine And Aesthetics Llc Po Box 429 Daleville VA 24083-0429 Ph: (540) 992-3600 | Lawson Family Medicine And Aesthetics Llc 1454 Roanoke Rd Daleville VA 24083 Ph: (540) 992-3600 |
| NPI Number | 1386978872 |
|---|---|
| Provider Enumeration Date | 09/30/2009 |
| Last Update Date | 09/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386978872 | NPI | - | NPPES |
| 00W770L96 | Other | VA | MEDICARE ID-TYPE UNSPECIFIED |
| 010299004 | Medicaid | VA | |
| P00276997 | Other | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0102050181 (Virginia) | Primary |
The Glebe, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 The Glebe Blvd, Daleville, VA 24083 Phone: 540-591-2100 | |
Sunshine Doctors Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1454 Roanoke Rd, Daleville, VA 24083 Phone: 540-992-3600 Fax: 540-992-5570 |