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Individual

ELEAZAR D LAWSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1510 DIVISION ST STE 210, OREGON CITY, OR 97045-1599
(503) 723-6525
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A73870
CA
208600000X
Surgery Physician
Primary
MD192703
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A738700
CA
Enumeration date
08/30/2006
Last updated
03/19/2021
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