MEDICARE: CHENELLE 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	183700000X	Pharmacy Technician	RPT89904	FL

General Provider Information

NPI Number	:	1568326858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHENELLE LAWSON

Provider Business Mailing Address
First Line	:	9252 KLIBER DRIVE
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33884
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9252 KLIBER DRIVE
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33884
Country	:	US
Telephone Number	:	863-605-6865
Fax Number	:

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

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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Directions to “ CHENELLE LAWSON ” Practice Location

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