MEDICARE: CHRIS LAWHON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1023795366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRIS LAWHON

Provider Business Mailing Address
First Line	:	3198 MIDLAND TRL STE A
Second Line	:
City	:	ONA
State	:	WV
Zip	:	25545-9507
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1018 BIG BEND RD
Second Line	:
City	:	BARBOURSVILLE
State	:	WV
Zip	:	25504-9798
Country	:	US
Telephone Number	:	304-208-0131
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2023
Last Update Date	:	06/29/2023

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Directions to “ CHRIS LAWHON ” Practice Location

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