NPIMap

Organization Active NPI

Lawson Family Medicine and Aesthetics LLC

  • Family Medicine Physician
  • Daleville, VA
National Provider Identifier
1386978872
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102050181 Issued in VA
Legal business name
LAWSON FAMILY MEDICINE AND AESTHETICS LLC
Practice address
1454 Roanoke Rd
Daleville, VA 24083
Phone
(540) 992-3600
Fax
(540) 992-5570
NPI assigned
Sep 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lianna R Lawson, D.O.
Title
Sole Member/Physician
Phone
(540) 992-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0102050181 VA Primary

Addresses

Primary practice location

1454 Roanoke Rd
Daleville, VA 24083

Mailing address

PO Box 429
Daleville, VA 24083-0429
Phone (540) 992-3600

Other identifiers 3

IdentifierTypeStateIssuer
00W770L96OtherVAMEDICARE ID-TYPE UNSPECIFIED
010299004MedicaidVA
P00276997OtherMEDICARE RAILROAD

Other names 1

  • LAWSON FAMILY MEDICINE & AESTHETICS Doing business as

National Provider Directory

National Provider Directory

Locations

1454 Roanoke Rd
Daleville, VA 24083
Phone (540) 312-3981

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1386978872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "DALEVILLE",
            "state": "VA",
            "postal_code": "240830429",
            "telephone_number": "540-992-3600",
            "fax_number": "540-992-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 ROANOKE RD",
            "city": "DALEVILLE",
            "state": "VA",
            "postal_code": "24083",
            "telephone_number": "540-992-3600",
            "fax_number": "540-992-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWSON FAMILY MEDICINE AND AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "LIANNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE MEMBER/PHYSICIAN",
        "authorized_official_telephone_number": "540-992-3600",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102050181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "00W770L96",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010299004",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00276997",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAWSON FAMILY MEDICINE & AESTHETICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daleville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.