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Individual

DR. THOMAS T. LAWSON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PH.D

Contact information

Practice address
118 E SUNBRIDGE DR, FAYETTEVILLE, AR 72703-2830
(479) 444-1400
(479) 444-1422
Mailing address
118 E SUNBRIDGE DR, FAYETTEVILLE, AR 72703-2830
(479) 444-1400
(479) 444-1422

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
94-7P
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5S581
BLUE CROSS BLUE SHIELD
AR
Enumeration date
05/04/2006
Last updated
07/08/2007
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