# MR. MARK ALLAN LAWSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1972589695
- **Gender:** Man
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 1053751 | NULL | Yes |
| 363A00000X | Physician Assistant | 15-01189 | KS | — |

## Other

- **Enumeration date:** 12/15/2005
- **Last updated:** 01/11/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1053751 | NCCPA | — |
| 01 | — | 15-01189 | STATE PA LICENSE | KS |