Individual
JUSTIN SCOTT LAWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6420 N PROSPECT AVE, GLADSTONE, MO 64119
(913) 945-9700
(913) 945-9707
Mailing address
6420 N PROSPECT AVE, GLADSTONE, MO 64119-1530
(913) 945-9700
(913) 945-9707
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2016013406
MO
207Q00000X
Family Medicine Physician
9408100
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01726301
RR MEDICARE
MO
Enumeration date
05/23/2013
Last updated
06/13/2018
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