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Individual

DAVID LAWTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
112 OLEAN ST, SUITE 220, EAST AURORA, NY 14052-2540
(716) 805-1072
(716) 805-1073
Mailing address
112 OLEAN ST, SUITE 220, EAST AURORA, NY 14052-2540
(716) 805-1072
(716) 805-1073

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
191961
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00010100603
UNIVERA
NY
01
000523366006
BC/BS
NY
01
0106410
IHA
NY
05
01787315
NY
01
040426002653
FIDELIS
NY
01
080191946
RAILROAD MEDICARE
NY
01
148852BF
PREFERRED CARE
NY
01
191961
LICENSE
NY
01
CK7008
RAILROAD MEDICARE
NY
Enumeration date
02/14/2006
Last updated
07/23/2008
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