Lawson, Jordan Ronnie
Lawson, Jordan Ronnie is an individual health care provider with primary practice located at 126 Dillon Dr. , Spartanburg SC 29307-1018. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Lawson, Jordan Ronnie can be contacted via phone (864) 327-1212.Contact Information
Primary practice address
126 Dillon Dr.
Spartanburg SC 29307-1018
Phone: (864) 327-1212
Fax: (864) 327-1211
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5099 | South Carolina |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 5300PA | South Carolina |
Profile Details
| NPI number | 1609557800 |
|---|---|
| LBN Legal business name | Lawson, Jordan Ronnie |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2023 |
| Last updated | Mar 5th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609557800 | NPPES |
| South Carolina | MEDICAID | 6502PA |
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