MEDICARE: ANDREW LEE LAWSON

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	106H00000X	Marriage & Family Therapist	MG61667320	WA
2	101YP1600X	Pastoral Counselor	2239	TN

General Provider Information

NPI Number	:	1174930531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW LEE LAWSON

Provider Business Mailing Address
First Line	:	6505 216TH ST SW STE 100
Second Line	:
City	:	MOUNTLAKE TERRACE
State	:	WA
Zip	:	98043-2089
Country	:	US
Telephone Number	:	865-237-1986
Fax Number	:

Provider Business Practice Location Address
First Line	:	1712 DURHAM PARK LN
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37918-8606
Country	:	US
Telephone Number	:	865-237-1986
Fax Number	:

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

Provider Enumeration Date	:	07/17/2014
Last Update Date	:	05/11/2026

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Directions to “ ANDREW LEE LAWSON ” Practice Location

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