Provider Demographics
NPI:1063616902
Name:LAWHON, LALIE (RN)
Entity type:Individual
Prefix:MRS
First Name:LALIE
Middle Name:
Last Name:LAWHON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:576 PERSIMMON RD
Mailing Address - Street 2:
Mailing Address - City:SOPCHOPPY
Mailing Address - State:FL
Mailing Address - Zip Code:32358-0861
Mailing Address - Country:US
Mailing Address - Phone:850-962-6166
Mailing Address - Fax:
Practice Address - Street 1:48 OAK ST
Practice Address - Street 2:
Practice Address - City:CRAWFORDVILLE
Practice Address - State:FL
Practice Address - Zip Code:32327-2085
Practice Address - Country:US
Practice Address - Phone:850-926-3591
Practice Address - Fax:850-926-1938
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 9251843163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health