Individual
DEIRDRE MAE CLAIREWEN LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
235 WALNUT STREET, LEESBURG, GA 31763
(229) 759-6508
(229) 759-9950
Mailing address
204 N WESTOVER BLVD, ALBANY, GA 31707-2983
(229) 888-6559
(229) 436-4107
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036649
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000608858A
—
GA
05
—
000608858F
—
GA
01
—
110087556
RR MCARE - EAMC
GA
01
—
110087557
RR MCARE - LMAC
GA
01
—
497273
BCBS - EAMC
GA
01
—
497274
BCBS - LMAC
GA
01
—
5933590
AETNA
GA
Enumeration date
09/07/2006
Last updated
11/29/2011
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