| Lawson Support Services, Llc | |
|
723 Main Street North Wilkesboro NC 28659-4211 | |
| (336) 838-5575 | |
| (336) 838-5573 |
| Full Name | Lawson Support Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 723 Main Street, North Wilkesboro, North Carolina |
| Authorized Official Name and Position | Alicia A Lawson (PROGRAM ADMINISTRATOR) |
| Authorized Official Contact | 3363726083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawson Support Services, Llc Po Box 189 Sparta NC 28675-0189 Ph: (336) 372-6083 | Lawson Support Services, Llc 723 Main Street North Wilkesboro NC 28659-4211 Ph: (336) 838-5575 |
| NPI Number | 1427186105 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 12/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427186105 | NPI | - | NPPES |
| 5904328 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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