Individual
MR. KENNETH LEE LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
385 RANCH ROAD, REEDSPORT, OR 97467
(541) 271-2119
(541) 271-6344
Mailing address
385 RANCH ROAD, REEDSPORT, OR 97467
(541) 271-2119
(541) 271-6344
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD18026
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046404
—
OR
Enumeration date
01/21/2007
Last updated
11/23/2010
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