Healthcare Provider Details

I. General information

NPI: 1275091076
Provider Name (Legal Business Name): MICHELE LAWSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2019
Last Update Date: 03/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MORGAN COUNTY BOARD OF EDUCATION 247 HARRISON AVENUE
BERKELEY SPRINGS WV
25411
US

IV. Provider business mailing address

MORGAN COUNTY BOARD OF EDUCATION 247 HARRISON AVENUE
BERKELEY SPRINGS WV
25411
US

V. Phone/Fax

Practice location:
  • Phone: 304-267-3595
  • Fax: 304-267-3599
Mailing address:
  • Phone: 304-267-3595
  • Fax: 304-267-3599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number101742
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: