Healthcare Provider Details

I. General information

NPI: 1295544757
Provider Name (Legal Business Name): RONISHA LAWSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2024
Last Update Date: 12/30/2024
Certification Date: 12/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

281 MAPLE AVE
OAK HILL WV
25901-3475
US

IV. Provider business mailing address

123 HAGER ST APT 13
BECKLEY WV
25801-5867
US

V. Phone/Fax

Practice location:
  • Phone: 304-465-3302
  • Fax:
Mailing address:
  • Phone: 304-242-8404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: