Bryce Leroy Lawson
Adult Companion in Waverly, NE. Individual provider (NPI-1).
NPI number1265239693
StatusActive
Last updated in NPPESFeb 25, 2025
Details
- NPI
- 1265239693
- Entity type
- Individual (NPI-1)
- Name
- Bryce Leroy Lawson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 25, 2025
- Certification date
- Feb 25, 2025
- Last updated
- Feb 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372600000X | Adult Companion | – | – | Yes |
Practice location
10311 N 142nd StWaverly, NE 68462-1407
Phone 402-875-1241
Mailing address
10311 N 142nd StWaverly, NE 68462-1407
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