Mitzi Gayle Lawson, LMP

NPI #1205164746 in Port Orchard, Washington

Provider Information

NPI Number: 1205164746
Entity Type: Individual
Name: Mitzi Gayle Lawson, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMP
Enumeration Date: Nov 20, 2009
Last Updated: Nov 20, 2009

Practice Location

Address: 1790 SIDNEY AVE
Address 2: # 8-331
City: Port Orchard
State: Washington
ZIP Code: 98366-2439
Phone: (360) 649-8419

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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