Individual
TINA M. LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17300 WESTFIELD BLVD STE 200, WESTFIELD, IN 46074-1437
(317) 582-9200
Mailing address
2330 S DIXON RD, KOKOMO, IN 46902-6434
(765) 455-5400
(765) 865-3710
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01044162A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000368345
ANTHEM
IN
05
—
200009320
—
IN
01
—
3937240023
MEDICAREDMEPOS
IN
01
—
7907
PHYSICIANS HEALTH PLAN
IN
01
—
P00315370
RAILROAD MEDICARE
IN
Enumeration date
12/15/2005
Last updated
12/09/2025
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