Individual
DR. MICHAEL JAMES LAWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
105 NORTHRIDGE DR, NEW LONDON, WI 54961-2703
(920) 982-3567
(920) 982-0993
Mailing address
PO BOX 205, NEW LONDON, WI 54961-0205
(920) 982-3567
(920) 982-0993
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2523
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33428300
—
WI
Enumeration date
09/12/2006
Last updated
07/08/2007
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