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NPI Code Detail

MEDICARE: MRS. KIMBERLY NICOLE LAWTON

MEDICARE:  MRS. KIMBERLY NICOLE LAWTON
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
1171M00000XCase Manager/Care Coordinator
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1124780275
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KIMBERLY NICOLE LAWTON
Provider Business Mailing Address
First Line : 1050 RIBAUT RD
Second Line :
City : BEAUFORT
State : SC
Zip : 29902-5400
Country : US
Telephone Number : 843-812-9301
Fax Number :
Provider Business Practice Location Address
First Line : 100 COMMERCE CT
Second Line :
City : POOLER
State : GA
Zip : 31322-9445
Country : US
Telephone Number : 615-560-6622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2021
Last Update Date : 12/09/2024

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Directions to “ MRS. KIMBERLY NICOLE LAWTON ” Practice Location

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