MEDICARE: ELIZABETH LAWHON C.N.P.

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	363LF0000X	Family Nurse Practitioner	0024166306	VA

General Provider Information

NPI Number	:	1407819147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH LAWHON C.N.P.

Provider Business Mailing Address
First Line	:	6128 BRANDON AVE
Second Line	:	201
City	:	SPRINGFIELD
State	:	VA
Zip	:	22150-2640
Country	:	US
Telephone Number	:	703-780-2800
Fax Number	:	703-780-0461

Provider Business Practice Location Address
First Line	:	6128 BRANDON AVE
Second Line	:	201
City	:	SPRINGFIELD
State	:	VA
Zip	:	22150-2640
Country	:	US
Telephone Number	:	703-780-2800
Fax Number	:	703-780-0461

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

Provider Enumeration Date	:	04/11/2006
Last Update Date	:	12/26/2013

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