MEDICARE: ERIN PAIGE 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	2255A2300X	Athletic Trainer	AT004011	GA
2	2255A2300X	Athletic Trainer
3	225100000X	Physical Therapist	P24381	NC

General Provider Information

NPI Number	:	1407320443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN PAIGE LAWSON

Provider Business Mailing Address
First Line	:	2135 SNOWGOOSE LN
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28217-0579
Country	:	US
Telephone Number	:	919-943-8304
Fax Number	:

Provider Business Practice Location Address
First Line	:	5310 LANGFORD AVE NW
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28027-8796
Country	:	US
Telephone Number	:	704-746-9173
Fax Number	:

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

Provider Enumeration Date	:	01/12/2019
Last Update Date	:	12/01/2025

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