Individual
THEODORE LAWSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-1415
(307) 688-1420
Mailing address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-1415
(307) 688-1420
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5598A
WY
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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