MEDICARE: TAMI LAWSON APRN

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	363L00000X	Nurse Practitioner	99221	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700201035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMI LAWSON APRN

Provider Business Mailing Address
First Line	:	8105 NW EXPRESSWAY, SUITE A
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73162-6004
Country	:	US
Telephone Number	:	405-602-3500
Fax Number	:	405-602-3550

Provider Business Practice Location Address
First Line	:	8105 NW EXPRESSWAY
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73162-6004
Country	:	US
Telephone Number	:	405-602-3500
Fax Number	:	405-602-3550

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

Provider Enumeration Date	:	02/24/2014
Last Update Date	:	04/19/2016

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Directions to “ TAMI LAWSON APRN” Practice Location

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