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Individual

DAVID R. LAWSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
36320 INLAND VALLEY DR, STE 101, WILDOMAR, CA 92595-7512
(951) 600-3811
(951) 600-4493
Mailing address
DEPT LA 21693, PASADENA, CA 91185-1693
(888) 727-1070
(877) 883-5176

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A81464
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A814640
BCBS
CA
05
00A814640
CA
Enumeration date
05/16/2006
Last updated
03/30/2009
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