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Samantha Louann Lawson

Homemaker in Summersville, WV. Individual provider (NPI-1).

NPI number1366176406
StatusActive
Last updated in NPPESJul 14, 2022

Details

NPI
1366176406
Entity type
Individual (NPI-1)
Name
Samantha Louann Lawson
Sex
Female
Sole proprietor
No
Enumeration date
Jul 14, 2022
Certification date
Jul 14, 2022
Last updated
Jul 14, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376J00000X Homemaker––Yes

Practice location

1205 Broad St
Summersville, WV 26651-1805

Phone 304-872-1162

Mailing address

1205 Broad St
Summersville, WV 26651-1805

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