Individual
IVY LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8395 W OAKLAND PARK BLVD STE A, SUNRISE, FL 33351-7301
(954) 747-6220
(954) 747-6228
Mailing address
8395 W OAKLAND PARK BLVD STE A, SUNRISE, FL 33351-7301
(954) 747-6220
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
295096
NY
2085R0202X
Diagnostic Radiology Physician
ME120921
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME120921
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05343297
—
NY
Enumeration date
07/10/2008
Last updated
07/27/2021
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