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Individual

DR. BRADLEY R LAWTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1300 DRESDEN DR, MORRIS, IL 60450
(815) 942-5200
(815) 942-5330
Mailing address
725 SCHOOL ST STE A, MORRIS, IL 60450-1207
(815) 941-9124
(815) 941-4363

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036101191
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036101191-4
IL
Enumeration date
01/05/2006
Last updated
04/28/2020
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