Individual
MELISSA A LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1020 HITT ST, COLUMBIA, MO 65212-0001
(573) 882-6921
(573) 882-1154
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD119697
MO
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
119697
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1201230
UNITED HEALTHCARE
MO
01
—
128865
BLUE SHIELD/BLUE CHOICE
MO
05
—
204683403
—
MO
01
—
2086801901
KANSAS MEDICAID
KS
01
—
370014794
RR MEDICARE
MO
01
—
413884
HEALTHLINK
MO
Enumeration date
05/23/2006
Last updated
05/21/2024
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