Individual
DR. STEPHEN ANDREW LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(270) 300-0971
Mailing address
1002 DRIFTWOOD LN, ELIZABETHTOWN, KY 42701-5558
(270) 300-0971
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD26370
TN
208600000X
Surgery Physician
Primary
TP447
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000476030
ANTHEM BCBS
—
Enumeration date
11/03/2005
Last updated
07/08/2022
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