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NPI Code Detail

MEDICARE: ALEXANDRA LAWSON

MEDICARE: ALEXANDRA LAWSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorOH

General Provider Information

NPI Number : 1649125758
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA LAWSON
Provider Business Mailing Address
First Line : 1628 E DOROTHY LN
Second Line :
City : KETTERING
State : OH
Zip : 45429-3810
Country : US
Telephone Number : 937-365-7455
Fax Number : 937-600-6071
Provider Business Practice Location Address
First Line : 4134 LINDEN AVE
Second Line :
City : DAYTON
State : OH
Zip : 45432-3043
Country : US
Telephone Number : 937-365-7455
Fax Number : 937-600-6071
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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Directions to “ ALEXANDRA LAWSON ” Practice Location

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