=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700338100
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SARAH ELIZABETH LAWSON APRN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/01/2016
-----------------------------------------------------
Last Update Date | 07/23/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6976 CUMBERLAND GAP PKWY
-----------------------------------------------------
City | HARROGATE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37752-8230
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 423-869-3332
-----------------------------------------------------
Fax | 423-869-2064
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 69
-----------------------------------------------------
City | NEW TAZEWELL
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37824-0069
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 423-626-5622
-----------------------------------------------------
Fax | 423-526-5622
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | APN0000021581
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------