Mr Wallace Edgar Lawson, CRNA | |
8700 Sudley Road, Manassas, VA 20110-4418 | |
(571) 437-4334 | |
Not Available |
Full Name | Mr Wallace Edgar Lawson |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 8700 Sudley Road, Manassas, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609985241 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 24116782 (Virginia) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | AC000817 (Maryland) | Secondary |
Entity Name | American Anesthesiology Of Virginia Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20080812000606 |
Entity Name | Medstream Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20130724000770 |
Entity Name | Anesthesia Dynamics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20210305001705 |
Mailing Address | Practice Location Address |
---|---|
Mr Wallace Edgar Lawson, CRNA 8323 Suffolk Way, Gainesville, VA 20155-1778 Ph: (571) 437-4334 | Mr Wallace Edgar Lawson, CRNA 8700 Sudley Road, Manassas, VA 20110-4418 Ph: (571) 437-4334 |
Jeanne Harris, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-392-6199 | |
Abigail Ofori, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-369-8000 | |
Ronald J Chiapusio Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-369-8525 | |
Debra Manalad, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 800-394-4445 | |
Gerald Whitman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-392-6199 | |
Suni Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-369-8000 |