Individual
CODY WAYNE LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2211 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1350
(612) 330-1000
Mailing address
115 2ND AVE S APT 701, MINNEAPOLIS, MN 55401-2014
(276) 618-1593
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
12/15/2025
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