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Individual
MR. MARK ALLAN LAWSON
Active
Individual
MR. MARK ALLAN LAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1053751
NULL
363A00000X
Physician Assistant
15-01189
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053751
NCCPA
—
01
—
15-01189
STATE PA LICENSE
KS
Enumeration date
12/15/2005
Last updated
01/11/2024
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