Provider Demographics
NPI:1528424744
Name:LAWSON, GAIL MARIE
Entity type:Individual
Prefix:MS
First Name:GAIL
Middle Name:MARIE
Last Name:LAWSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:GAIL
Other - Middle Name:MARIE
Other - Last Name:HEARN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10641 SAN SICILY ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89141-0457
Mailing Address - Country:US
Mailing Address - Phone:702-875-1605
Mailing Address - Fax:702-837-8914
Practice Address - Street 1:10641 SAN SICILY ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89141-0457
Practice Address - Country:US
Practice Address - Phone:702-875-1605
Practice Address - Fax:702-837-8914
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-04
Last Update Date:2017-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7405-S104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker