Individual
JASON J LAWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1450 ELLIS ST STE 201, BOZEMAN, MT 59715-8813
(406) 522-1146
(406) 587-5548
Mailing address
1450 ELLIS ST STE 201, BOZEMAN, MT 59715-8813
(406) 522-1146
(406) 587-5548
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3266
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005074
—
AZ
Enumeration date
04/01/2006
Last updated
09/11/2008
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