Individual
BRETT J LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
450077 STATE ROAD 200 STE 12, CALLAHAN, FL 32011-3863
(904) 633-0560
Mailing address
275 HERON CT, SAINT MARYS, GA 31558-4182
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME154459
FL
Other
Enumeration date
04/07/2017
Last updated
12/12/2022
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