Healthcare Provider Details

I. General information

NPI: 1336699289
Provider Name (Legal Business Name): JANIE LAWTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2016
Last Update Date: 10/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7819 ROSWELL DR
FALLS CHURCH VA
22043-3319
US

IV. Provider business mailing address

7819 ROSWELL DR
FALLS CHURCH VA
22043-3319
US

V. Phone/Fax

Practice location:
  • Phone: 703-606-8775
  • Fax:
Mailing address:
  • Phone: 703-606-8775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code175L00000X
TaxonomyHomeopath
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: