Elleenq Lawson
Technician, Attendant Care Provider in Virginia Beach, VA. Individual provider (NPI-1).
NPI number1770150583
StatusActive
Last updated in NPPESJun 9, 2021
Details
- NPI
- 1770150583
- Entity type
- Individual (NPI-1)
- Name
- Elleenq Lawson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 9, 2021
- Certification date
- Jun 9, 2021
- Last updated
- Jun 9, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
4104 Ardent CirVirginia Beach, VA 23456-1674
Phone 646-662-4444
Mailing address
4104 Ardent CirVirginia Beach, VA 23456-1674
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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