Provider Demographics
NPI:1487469003
Name:LAWSON-FIELDS, LATASHA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LATASHA
Middle Name:
Last Name:LAWSON-FIELDS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:LATASHA
Other - Middle Name:
Other - Last Name:FIELDS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:PO BOX 5272
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30916-5272
Mailing Address - Country:US
Mailing Address - Phone:254-466-3162
Mailing Address - Fax:
Practice Address - Street 1:2902 PEACH ORCHARD RD
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30906-3504
Practice Address - Country:US
Practice Address - Phone:254-466-3162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA034662183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist