Healthcare Provider Details

I. General information

NPI: 1801002563
Provider Name (Legal Business Name): DORIS C. LAWSON CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DORIS LAWSON-GREEN RN

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 08/10/2021
Certification Date: 08/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 S WASHINGTON ST STE A
GETTYSBURG PA
17325-2500
US

IV. Provider business mailing address

3421 CONCORD RD
YORK PA
17402-9001
US

V. Phone/Fax

Practice location:
  • Phone: 717-339-3105
  • Fax: 717-798-3670
Mailing address:
  • Phone: 717-339-3105
  • Fax: 717-798-3670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP009415
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: