Healthcare Provider Details

I. General information

NPI: 1922169242
Provider Name (Legal Business Name): MISS DONNA LYNN LAWSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS DONNA LYNN CONNER

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2311 LOVERIDGE RD FL 2
PITTSBURG CA
94565-5117
US

IV. Provider business mailing address

2313 PEPPERTREE WAY APT 3
ANTIOCH CA
94509-3335
US

V. Phone/Fax

Practice location:
  • Phone: 925-431-2619
  • Fax: 925-431-2644
Mailing address:
  • Phone: 925-354-5406
  • Fax: 925-431-2644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: