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General NPI Number Information
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NPI Number | 1366744732
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Entity Type | Organization
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Legal Business Name | LAWSON JONES, INC.
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Dates
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Enumeration Date | 11/17/2010
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Last Update Date | 01/23/2014
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Provider Practice Location Address
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Address Line | 822 N. 10TH PL SUITE A
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City | RENTON
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State | WA
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Zip | 98057
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Country | US
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Telephone | 425-276-5752
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Fax |
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Provider Business Mailing Address
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Address Line | 822 N. 10TH PL SUITE A
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City | RENTON
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State | WA
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Zip | 98057
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Country | US
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Telephone | 425-276-5752
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Fax | 425-207-8829
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EVIE MARIE LAWSON
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Credential | OD
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Telephone | 425-276-5752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4070
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License Number State | WA
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