| NPI | 1346616885 |
|---|---|
| Former Name | JAMIE LANE LAWSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085008325) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA5436) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2021-10-20 |