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NPI Code Detail

MEDICARE: SHERRY LAWSON SUD

MEDICARE:   SHERRY  LAWSON  SUD
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
1101YA0400XAddiction (Substance Use Disorder) CounselorAII053310318CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851509475
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERRY LAWSON SUD
Provider Business Mailing Address
First Line : 3340 KEMPER ST STE 101
Second Line :
City : SAN DIEGO
State : CA
Zip : 92110-4907
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3340 KEMPER ST STE 101
Second Line :
City : SAN DIEGO
State : CA
Zip : 92110-4907
Country : US
Telephone Number : 619-758-1433
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2007
Last Update Date : 08/27/2025

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Directions to “ SHERRY LAWSON SUD” Practice Location

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