Individual
SCOTT D. LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
3727 N GOLDENROD RD STE 108, WINTER PARK, FL 32792-8611
(407) 671-0001
(407) 671-3496
Mailing address
3727 N GOLDENROD RD STE 108, WINTER PARK, FL 32792-8611
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN16923
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
ME90717
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000500700
—
FL
01
—
11918447
CAQH
—
01
—
64254
MEDICARE ID NUMBER
FL
Enumeration date
07/17/2006
Last updated
02/27/2015
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