| Lawson Family Medicine And Aesthetics | |
|
1454 Roanoke Rd Daleville VA 24083 | |
| (540) 992-3600 | |
| (540) 992-5570 |
| Full Name | Lawson Family Medicine And Aesthetics |
|---|---|
| Speciality | Family Medicine |
| Location | 1454 Roanoke Rd, Daleville, Virginia |
| Authorized Official Name and Position | Lianna R. Lawson (PHYSICIAN) |
| Authorized Official Contact | 5409923600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawson Family Medicine And Aesthetics Po Box 429 Daleville VA 24083 Ph: (540) 992-3600 | Lawson Family Medicine And Aesthetics 1454 Roanoke Rd Daleville VA 24083 Ph: (540) 992-3600 |
| NPI Number | 1912402454 |
|---|---|
| Provider Enumeration Date | 03/27/2018 |
| Last Update Date | 03/27/2018 |
| Medicare PECOS PAC ID | 8820428071 |
|---|---|
| Medicare Enrollment ID | O20200430002251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912402454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0102050181 (Virginia) | Primary |
| Provider Name | Lianna R Lawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316926959 PECOS PAC ID: 2860412046 Enrollment ID: I20051202000248 |
| Provider Name | Heather E Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306309570 PECOS PAC ID: 2062824303 Enrollment ID: I20201210002120 |
Lawson Family Medicine & Aesthetics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1454 Roanoke Rd, Daleville, VA 24083 Phone: 540-992-3600 Fax: 540-992-5570 | |
The Glebe, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 The Glebe Blvd, Daleville, VA 24083 Phone: 540-591-2100 |