Provider Demographics
NPI:1922721638
Name:LAWTON, CHEZANN (APRN)
Entity type:Individual
Prefix:
First Name:CHEZANN
Middle Name:
Last Name:LAWTON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CHEZANN
Other - Middle Name:
Other - Last Name:CHAMBERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:237 MONTGOMERY DR
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-2839
Mailing Address - Country:US
Mailing Address - Phone:312-687-3588
Mailing Address - Fax:
Practice Address - Street 1:4475 W VILLAGE PKWY
Practice Address - Street 2:
Practice Address - City:ELLENWOOD
Practice Address - State:GA
Practice Address - Zip Code:30294-2869
Practice Address - Country:US
Practice Address - Phone:770-507-7950
Practice Address - Fax:716-710-8082
Is Sole Proprietor?:No
Enumeration Date:2022-09-20
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041463245163W00000X
IL209025533363L00000X
GARN328173363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse