Individual
MR. DOUGLAS LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1044 MADRID RD, GREENWOOD, IN 46143-2654
(317) 414-1889
Mailing address
1044 MADRID RD, GREENWOOD, IN 46143-2654
(317) 414-1889
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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