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Individual

CHARLES B LAWTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-2035
(801) 475-1621
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-2035
(801) 475-1621

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
327600-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
810000417
MEDICARE RAILROAD
UT
Enumeration date
07/28/2006
Last updated
01/22/2016
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