Individual
SAMUEL T LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 MARSHALL ST, STE. 104, JACKSON, MS 39202-1651
(601) 969-6404
(601) 973-4541
Mailing address
501 MARSHALL ST, STE. 104, JACKSON, MS 39202-1651
(601) 969-6404
(601) 973-4541
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
14468
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122611
—
MS
Enumeration date
07/19/2006
Last updated
10/23/2014
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