Basic Information
| Provider Information | |||||||||
| NPI: | 1518548296 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LAWING | ||||||||
| FirstName: | ALEX | ||||||||
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| Mailing Information | |||||||||
| Address1: | 71 EBENEZER CHURCH RD | ||||||||
| Address2: | |||||||||
| City: | OLD FORT | ||||||||
| State: | NC | ||||||||
| PostalCode: | 28762 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1100 TUNNEL RD | ||||||||
| Address2: | |||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288052576 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8282987911 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/15/2021 | ||||||||
| LastUpdateDate: | 04/15/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 03/23/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 164W00000X | 087472 | NC | Y | Nursing Service Providers | Licensed Practical Nurse |
No ID Information.