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NPI 1396142873

NPI 1396142873 : EVIE LAWSON, OD, PS : SEATTLE, WA

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General NPI Number Information
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    NPI Number           |    1396142873
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    Entity Type          |    Organization 
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    Legal Business Name  |    EVIE LAWSON, OD, PS 
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Dates
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    Enumeration Date     |    11/26/2014
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    Last Update Date     |    11/26/2014
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Provider Practice Location Address
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    Address Line         |    7225 27TH AVE NE 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98115-5821
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    Country              |    US
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    Telephone            |    425-577-0654
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7225 27TH AVE NE 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98115-5821
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. EVIE  LAWSON 
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    Credential           |    OD
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    Telephone            |    425-577-0654
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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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