Provider Demographics
NPI:1497630115
Name:LAWTON HEALTH CARE LLC
Entity type:Organization
Organization Name:LAWTON HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DERICE
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:LAWTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-134-1586
Mailing Address - Street 1:4425 SW 23RD ST
Mailing Address - Street 2:
Mailing Address - City:WEST PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33023-3341
Mailing Address - Country:US
Mailing Address - Phone:202-134-1586
Mailing Address - Fax:
Practice Address - Street 1:4425 SW 23RD ST
Practice Address - Street 2:
Practice Address - City:WEST PARK
Practice Address - State:FL
Practice Address - Zip Code:33023-3341
Practice Address - Country:US
Practice Address - Phone:202-134-1586
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies