Healthcare Provider Details

I. General information

NPI: 1326702945
Provider Name (Legal Business Name): CAMEREN LAWSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2021
Last Update Date: 10/29/2021
Certification Date: 10/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6015 FARRINGTON RD STE 101A
CHAPEL HILL NC
27517-8154
US

IV. Provider business mailing address

6015 FARRINGTON RD STE 101A
CHAPEL HILL NC
27517-8154
US

V. Phone/Fax

Practice location:
  • Phone: 919-797-2017
  • Fax: 919-748-4674
Mailing address:
  • Phone: 919-797-2017
  • Fax: 919-748-4674

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP20420
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: