Individual
BENJAMIN LAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3550 MULLAN RD STE 103A, MISSOULA, MT 59808-5168
(406) 213-8939
(406) 224-6127
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(866) 747-2455
(406) 329-2659
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
172648
AK
207RN0300X
Nephrology Physician
Primary
MED-PHYS-LIC-126508
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
K160843
—
AK
Enumeration date
04/10/2015
Last updated
08/26/2025
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