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Kelly Lawson

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

10625 W North Ave Ste 101b, Wauwatosa, WI 53226-2315

PECOS Enrollment

Based on the most recent information from CMS, provider Kelly Lawson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1700533957
Provider Type
Individual
Full Name
Lawson, Kelly
Gender
Female

Sole Proprietor
Yes
Enumeration Date
3/8/2022
Last Updated
3/14/2023

Contact Information

Practice Location

10625 W North Ave Ste 101b, Wauwatosa, WI 53226-2315

(414) 727-9183

Unlisted Fax

Mailing Location

10625 W North Ave Ste 101b, Wauwatosa, WI 53226-2315

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 7037-23 Wisconsin

Kelly Lawson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Walsh, Austin Thomas

Collings, Breanne Marie

Beyer, Adam

Schellhaas, Erica A

Guhl, Lauren A

Christen, Kathryn

Ramstack, Michelle S

Buczkowski, Lauren Holly

Mcdonald, Mark C

Riesch, Judith M