Provider Demographics
NPI:1063155802
Name:DURHAM, LAWSON BAKER
Entity type:Individual
Prefix:
First Name:LAWSON
Middle Name:BAKER
Last Name:DURHAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 COLEMAN AVE APT 11D
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-1383
Mailing Address - Country:US
Mailing Address - Phone:980-621-3900
Mailing Address - Fax:
Practice Address - Street 1:225 E CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2577
Practice Address - Country:US
Practice Address - Phone:828-552-3771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-19
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical