Healthcare Provider Details

I. General information

NPI: 1528838166
Provider Name (Legal Business Name): ALANNIS LAWTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLIE LAWTON

II. Dates (important events)

Enumeration Date: 01/04/2024
Last Update Date: 08/16/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5025 E WASHINGTON ST STE 212
PHOENIX AZ
85034-7439
US

IV. Provider business mailing address

14811 N KIERLAND BLVD APT 3063
SCOTTSDALE AZ
85254-2975
US

V. Phone/Fax

Practice location:
  • Phone: 602-773-5773
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number121127
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP17175
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: