Healthcare Provider Details

I. General information

NPI: 1700796240
Provider Name (Legal Business Name): LAWANNA DAWSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

286 EUCLID AVE STE 207
SAN DIEGO CA
92114-3612
US

IV. Provider business mailing address

286 EUCLID AVE STE 207
SAN DIEGO CA
92114-3612
US

V. Phone/Fax

Practice location:
  • Phone: 619-859-6270
  • Fax: 619-266-0496
Mailing address:
  • Phone: 619-859-6270
  • Fax: 619-266-0496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: