Healthcare Provider Details

I. General information

NPI: 1285626705
Provider Name (Legal Business Name): STEPHANIE ELIZABETH LAWTON FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

685 TWELVE BRIDGES DR STE B
LINCOLN CA
95648-8689
US

IV. Provider business mailing address

10470 OLD PLACERVILLE RD STE 100
SACRAMENTO CA
95827-2539
US

V. Phone/Fax

Practice location:
  • Phone: 916-408-5915
  • Fax: 916-408-5406
Mailing address:
  • Phone: 855-771-0335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number528226
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: