Individual
MARK DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
717 CURTIS DR, RAYNE, LA 70578-8311
(337) 334-7551
(337) 334-7556
Mailing address
717 CURTIS DR, RAYNE, LA 70578-8311
(337) 334-7551
(337) 334-7556
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
L013924
LA
208000000X
Pediatrics Physician
Primary
L013924
LA
2084P0800X
Psychiatry Physician
L013924
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1197823
—
LA
Enumeration date
07/29/2005
Last updated
05/10/2019
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