Provider Demographics
NPI:1578437091
Name:LAWSON, QUTAVIA TRISHANNE
Entity type:Individual
Prefix:
First Name:QUTAVIA
Middle Name:TRISHANNE
Last Name:LAWSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:QUTAVIA
Other - Middle Name:TRISHANNE
Other - Last Name:COOK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3643 SW 20TH AVE APT 805
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-4427
Mailing Address - Country:US
Mailing Address - Phone:352-301-2290
Mailing Address - Fax:
Practice Address - Street 1:3643 SW 20TH AVE APT 805
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-4427
Practice Address - Country:US
Practice Address - Phone:352-301-2290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2398509371374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula