Organization
KEVIN JON LAWSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JON LAWSON MD (DOCTOR/OWNER)
(906) 253-1300
Entity
Organization
Contact information
Practice address
309 W 12TH AVE, SUITE 102, SAULT SAINTE MARIE, MI 49783-2886
(906) 253-1300
(906) 253-1333
Mailing address
309 W 12TH AVE, SUITE 102, SAULT SAINTE MARIE, MI 49783-2886
(906) 253-1300
(906) 253-1333
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301079319
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4550830
—
MI
Enumeration date
10/17/2006
Last updated
04/20/2011
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