Individual
DR. ROBERT GUSTAVE LAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
15644 POMERADO RD, SUITE 300, POWAY, CA 92064-2400
(858) 485-1494
(858) 485-1515
Mailing address
243 S ESCONDIDO BLVD, PMB #144, ESCONDIDO, CA 92025-4116
(760) 715-3656
(760) 233-1265
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
E3710
CA
213ER0200X
Radiology Podiatrist
RHD 134777
CA
213ES0000X
Sports Medicine Podiatrist
E3710
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E3710
CA
213ES0131X
Foot Surgery Podiatrist
E3710
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E37100
—
CA
01
—
480018837
RAILROAD MEDICARE
CA
Enumeration date
09/14/2006
Last updated
12/04/2009
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