Basic Information
| Provider Information | |||||||||
| NPI: | 1427149350 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LAWSON-SNYDER | ||||||||
| FirstName: | SHAHARA | ||||||||
| MiddleName: | LEE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1833 | ||||||||
| Address2: | |||||||||
| City: | MARION | ||||||||
| State: | OH | ||||||||
| PostalCode: | 433011833 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7403871509 | ||||||||
| FaxNumber: | 7403874823 | ||||||||
| Practice Location | |||||||||
| Address1: | 1075 E CENTER ST | ||||||||
| Address2: | |||||||||
| City: | MARION | ||||||||
| State: | OH | ||||||||
| PostalCode: | 433024450 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7403871509 | ||||||||
| FaxNumber: | 7403874823 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/27/2006 | ||||||||
| LastUpdateDate: | 11/11/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | 3134 | OH | Y | Chiropractic Providers | Chiropractor |
No ID Information.