Individual provider · NPI-1

Ladonna Lawson

Occupational Therapy Assistant · Merrillville, IN

NPI number1679195705
StatusActive
Last updated in NPPESMay 12, 2020

Details

NPI
1679195705
Entity type
Individual (NPI-1)
Name
Ladonna Lawson
Sex
Female
Sole proprietor
No
Enumeration date
May 12, 2020
Certification date
May 12, 2020
Last updated
May 12, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant––Yes
224Z00000X Occupational Therapy Assistant3200227AIN

Practice location

816 W 59th Pl Apt A
Merrillville, IN 46410-7614

Phone 219-779-4360

Mailing address

816 W 59th Pl Apt A
Merrillville, IN 46410-7614

Phone 219-779-4360

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