Individual
MR. JERRY WAYNE LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1417 N MAIN STREET, JAMESTOWN, KY 42629-0966
(270) 343-2597
(270) 343-2598
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 864-1472
(270) 864-1693
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33028
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64330285
—
KY
Enumeration date
07/08/2005
Last updated
06/10/2014
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