Healthcare Provider Details

I. General information

NPI: 1700338100
Provider Name (Legal Business Name): SARAH ELIZABETH LAWSON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2016
Last Update Date: 07/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6976 CUMBERLAND GAP PKWY
HARROGATE TN
37752-8230
US

IV. Provider business mailing address

PO BOX 69
NEW TAZEWELL TN
37824-0069
US

V. Phone/Fax

Practice location:
  • Phone: 423-869-3332
  • Fax: 423-869-2064
Mailing address:
  • Phone: 423-626-5622
  • Fax: 423-526-5622

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN0000021581
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: