Provider Demographics
NPI:1528498847
Name:LAWTON, TIMOTHY RUSSELL (CRT)
Entity type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:RUSSELL
Last Name:LAWTON
Suffix:
Gender:M
Credentials:CRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:200 TULIP TREE CT
Mailing Address - Street 2:
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29642-7600
Mailing Address - Country:US
Mailing Address - Phone:864-617-2584
Mailing Address - Fax:
Practice Address - Street 1:4401 BELLE OAKS DR
Practice Address - Street 2:SUITE 280
Practice Address - City:N CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405-8537
Practice Address - Country:US
Practice Address - Phone:866-871-2700
Practice Address - Fax:877-571-2124
Is Sole Proprietor?:No
Enumeration Date:2013-11-22
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SCRCP5096227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified