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Individual

JAMES LAWSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
900 PEELER ST, KALAMAZOO, MI 49008-2300
(269) 345-8618
(269) 345-1508
Mailing address
900 PEELER ST, KALAMAZOO, MI 49008-2300
(269) 345-8618
(269) 345-1508

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704283195
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
367500000X
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4704283195
MICHIGAN CRNA LICENSE
MI
Enumeration date
12/10/2015
Last updated
02/05/2016
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