Provider Demographics
NPI:1467663716
Name:KISER, LAWSON
Entity type:Individual
Prefix:
First Name:LAWSON
Middle Name:
Last Name:KISER
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 1:203 S ACADEMY ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:LINCOLNTON
Mailing Address - State:NC
Mailing Address - Zip Code:28092-2714
Mailing Address - Country:US
Mailing Address - Phone:828-337-1533
Mailing Address - Fax:
Practice Address - Street 1:203 S ACADEMY ST
Practice Address - Street 2:SUITE B
Practice Address - City:LINCOLNTON
Practice Address - State:NC
Practice Address - Zip Code:28092-2714
Practice Address - Country:US
Practice Address - Phone:828-337-1533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6668235Z00000X
NC7420231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist